| 张文祥李自普△ 聂娜娜王思平锡洪敏.小儿阵发性室上性心动过速37 例临床分析[J].,2012,12(11):2127-2124 |
| 小儿阵发性室上性心动过速37 例临床分析 |
| Paroxysmal Supraventricular Tachycardia on Children: ClinicalAnalysis of 37 cases |
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| DOI： |
| 中文关键词: 阵发性室上心性心动过速 临床特点 治疗 心脏复律 |
| 英文关键词: Paroxysmal supraventricular tachycardia Clinical manifestation Treatment Cardioversion |
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| 中文摘要: |
| 目的：对比研究和评价不同方法治疗小儿阵发性室上性心动过速（PSVT） 的的疗效，提高转复率。方法：回顾性分析
2002.04-2011.05 我院住院治疗的37 例PSVT 患儿的临床资料，并分析比较心律平与胺碘酮的药物转复率，构成比采用x2 检验，
α=0.05。结果：37 例患儿中，13 例治疗原发病后自动转率，24 例患儿给予心律平治疗，其中1 例放弃治疗，5 例未见效，心律平转复
率为69.77%，5 例未见效患儿改用胺碘酮治疗，1 例死于原发病，1 例控制症状后行射频消融术治愈，胺碘酮转复率为75%，二者
之间无显著差异性。结论：心律平与胺碘酮均能较好的治疗小儿PSVT,对于反复发作，药物治疗无效的小儿PSVT，射频消融术已
成为最佳选择。 |
| 英文摘要: |
| Objective: To investigate the curative effect of different methods on treating paroxysmal supraventricular tachycardia
of children. Methods: 37 cases were retrospective analyzed with regard. The conversion rates of propafenone and amiodarone were analysis
by chi-square test, α=0.05. Results: Of 37 children,13 cases had automatic conversion after curing the primary desease, 24 cases
were given propafenone, 1 case gave up,5 cases had no effect. The propafenone conversion rate was 69.77%.5 cases with amiodarone, 1
case died of dilated cardiomyopathy, 1 case cured by Radiofrequency ablation after controlling clinical symptoms, the amiodarone conversion
rate was 75%. There was no significant difference between them. Conclusion: The propafenone and amiodarone all had better
conversion rate in children with paroxysmal supraventricular tachycardia, For the complexity and intractable paroxysmal supraventricular
tachycardia, radiofrequency catheter ablation was become the best choice for the pediatric patients. |
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