Hamilton J, Moodie D, Levy J
Am Heart J. 1979 Mar;97(3):371-4. doi: 10.1016/0002-8703(79)90439-3.
The use of the diving reflex to terminate a case of paroxysmal supraventricular tachycardia (PST) is described in a 2-week-old infant who presented in severe congestive heart failure with supraventricular tachycardia at a rate of 300. The infant's face was placed in a basin of ice water at 5 degrees C. for 5 seconds with manual occlusion of the infant's nostrils to prevent aspiration. The PST converted to a sinus rhythm of 120 within 3 seconds of facial immersion. The physiology of the diving reflex is reviewed and the uses and hazards of this reflex in terminating attacks of PST in infants is discussed.
本文描述了一名2周大婴儿，因严重充血性心力衰竭伴室上性心动过速（心率300次/分），利用潜水反射终止室上性心动过速发作的情况。将婴儿面部置于5摄氏度的冰水中5秒，同时手动堵塞婴儿鼻孔以防止误吸。面部浸入冰水3秒内，室上性心动过速转为窦性心律，心率120次/分。本文回顾了潜水反射的生理机制，并讨论了该反射在终止婴儿室上性心动过速发作中的作用及风险。
