中国小儿急救医学
中國小兒急救醫學
중국소인급구의학
CHINESE PEDIATRIC EMERGENCY MEDICINE
2013年
5期
447-451
,共5页
严重心律失常%抗心律失常药物%治疗%儿童
嚴重心律失常%抗心律失常藥物%治療%兒童
엄중심률실상%항심률실상약물%치료%인동
Severe cardiac arrhythmias%Antiarrhythmic druges%Treatment%Children
严重心律失常在儿科临床并不少见,由于其常导致明显的血流动力学障碍,患儿可发生心力衰竭、心源性休克、阿-斯发作,甚或猝死,因此属于儿科急重症,常要紧急处理.尽管近年来心脏复律除颤术和心脏起搏术越来越多地应用于临床,但应用抗心律失常药物仍是目前最常用的治疗方法.本文重点介绍常用急救药物的剂量与用法、不良反应、适应证和禁忌证,讨论在临床应用中应注意的问题.
嚴重心律失常在兒科臨床併不少見,由于其常導緻明顯的血流動力學障礙,患兒可髮生心力衰竭、心源性休剋、阿-斯髮作,甚或猝死,因此屬于兒科急重癥,常要緊急處理.儘管近年來心髒複律除顫術和心髒起搏術越來越多地應用于臨床,但應用抗心律失常藥物仍是目前最常用的治療方法.本文重點介紹常用急救藥物的劑量與用法、不良反應、適應證和禁忌證,討論在臨床應用中應註意的問題.
엄중심률실상재인과림상병불소견,유우기상도치명현적혈류동역학장애,환인가발생심력쇠갈、심원성휴극、아-사발작,심혹졸사,인차속우인과급중증,상요긴급처리.진관근년래심장복률제전술화심장기박술월래월다지응용우림상,단응용항심률실상약물잉시목전최상용적치료방법.본문중점개소상용급구약물적제량여용법、불량반응、괄응증화금기증,토론재림상응용중응주의적문제.
Severe cardiac arrhythmias is not rare in chilaren.Because they usually induce striking disturbance of the blood dynamics,heart failure,cardiogenic shock,Adams-stokes attack or sudden death can happen in sick child,therefore they belong to pediatric emergency.Though cardioversion-defibrillation and cardiac pacemaker implantation are widely applied to clinical practice recently,antiarrhythmic drugs are still the most common treatment method at present.In this article,dose and usage,harmful reactions,indications and contraindications of common fist-aid medicines would be introduced,and some important problems in clinical use also be discussed.
