CAJ | 학술논문

目的总结心房扑动患儿的治疗方法 .方法 30例诊断为心房扑动患儿首先接受药物治疗,包括纠正心力衰竭和药物转复.药物转复无效患儿予食道心房超速起搏、同步直流电击复律或射频消融治疗.结果 30例患儿中10例自动出院.5例以心力衰竭为首发症状的患儿中,3例心力衰竭得以纠正(余2例自动出院).药物转复10例.经食道心房超速起搏治疗2例,成功转复1例.同步直流电击复律4例,成功转复3例.射频消融3例均成功.结论小儿心房扑动合并心力衰竭者多存在器质性心脏病.小儿心房扑动的药物转复率较高,经食道心房超速起搏治疗和同步直流电击复律可用于小儿心房扑动的治疗;射频消融治疗儿童心房扑动需积累经验.
목적 총결심방복동환인적치료방법 .방법 30례진단위심방복동환인수선접수약물치료,포괄규정심력쇠갈화약물전복.약물전복무효환인여식도심방초속기박、동보직류전격복률혹사빈소융치료.결과 30례환인중10례자동출원.5례이심력쇠갈위수발증상적환인중,3례심력쇠갈득이규정(여2례자동출원).약물전복10례.경식도심방초속기박치료2례,성공전복1례.동보직류전격복률4례,성공전복3례.사빈소융3례균성공.결론 소인심방복동합병심력쇠갈자다존재기질성심장병.소인심방복동적약물전복솔교고,경식도심방초속기박치료화동보직류전격복률가용우소인심방복동적치료;사빈소융치료인동심방복동수적루경험.
Objective To sum up clinical property and therapeutic experience in the children with atrial flutter.Methods Thirty children with atrial flutter accepted drugs cardioversion therapy firstly.The patients who failed to drugs cardioversion were treated by transesophageal atrial overdrive pacing,synchronized direct current cardioversion or radiofrequency ablation(RFA).Results Of the 30 patients,10 patients gave up treatment.Of 5 patients who suffered from heart failure,3 patients of heart failure were cured.Ten patients recovered to sinus rhythm just by taking medicine.Two cases were treated with transesophageal atrial overdrive pacing and 1 case returned to normal.Synchronized direct current cardioversion were applied in 4 cases,which resulted in 3 cases returning to normal.Three cases received RFA and all responded to therapy.Conclusion Atrial flutter with heart failure in children mostly originate from organic heart disease.Cardioversion rate of drug is high.Transesophageal atrial overdrive pacing and synchronized direct current cardioversion can be used in the treatment of atrial flutter.The experience of RFA in the treatment of atrial flutter in children should be accumulated.