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经静脉起搏治疗新生儿严重暂时性心律失常(作者译)

[Treatment of a severe temporary heart arrhythmia by transvenous pacing in a neonate (author's transl)].

作者信息

Netz H

出版信息

Z Kardiol. 1979 Aug;68(8):566-9.

PMID:506366
Abstract

Report of the treatment of a neonate with bradycardia (cardiac dysrhythmia) with an external transvenous pacemaker. At the age of 19 days the child developed repeated and critical dysrhythmias which made intubation and artificial respiration necessary. Conservative therapy attempts were without success. A stimulation-catheter was inserted through the internal jugularis vein and an external Demand-pacemaker connected to it. The stimulation-catheter was disconnected after 12 days with the complete cessation of the initial frequent bradycardia episodes. The cause of the cardiac dysrhythmia could not be clearly found. Tachycardia-bradycardia syndrome and Phase-IV block are being discussed.

摘要

新生儿心动过缓(心律失常)采用体外经静脉起搏器治疗的报告。患儿19日龄时出现反复且严重的心律失常,需行气管插管和人工呼吸。保守治疗尝试未成功。通过颈内静脉插入刺激导管,并连接体外按需起搏器。12天后,初始频繁的心动过缓发作完全停止,遂断开刺激导管。心律失常的病因未能明确查明。目前正在讨论心动过速-心动过缓综合征和IV期阻滞。

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