神经损伤婴幼儿的心电图异常

Electrocardiographic abnormalities in infants and children with neurological injury.

作者信息

Rogers M C, Zakha K G, Nugent S K, Gioia F R, Epple L

出版信息

Crit Care Med. 1980 Apr;8(4):213-4. doi: 10.1097/00003246-198004000-00003.

DOI:10.1097/00003246-198004000-00003

Abstract

Electrocardiographic (ECG) abnormalities were found in 15 of 20 consecutive children (75%) admitted to the Pediatric ICU (PICU) with central nervous system injury produced by trauma or neurosurgical procedures. The ECG abnormalities included prolonged qTc, U waves, and notched T waves as well as ventricular arrhythmias. The high frequency and potential seriousness of this problem in infants and children suggests that neurogenic ECG changes should be looked for in all infants and children with neurological insults.

摘要

在因创伤或神经外科手术导致中枢神经系统损伤而入住儿科重症监护病房（PICU）的20名连续儿童中，有15名（75%）发现心电图（ECG）异常。ECG异常包括QTc延长、U波、T波切迹以及室性心律失常。这一问题在婴幼儿中的高发生率和潜在严重性表明，对于所有有神经损伤的婴幼儿，都应检查是否存在神经源性ECG改变。