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目的 探讨小儿心血管系统的常见急症—室上性心动过速的急救处理。方法 通过对我院近五年来急诊入院的44例室上性心动过速患儿进行病案回顾性总结,对三磷酸腺苷(ATP)和西地兰两种常用的药物疗法进行作用、速度、维持时间、副反应等的比较,分析两者各自的优劣。结果 ATP的转复率为7787%,转复时间1819±956sec,均明显优于西地兰组。本组资料未发现ATP的严重副反应。结论 ATP作为代谢速度快、起效快、转复率高、副作用相对较小的药物,在心电监护、准备好急救药物的情况下可以安全地使用,可作为急诊治疗室上性心动过速的首选药物
Objective To investigate the emergency treatment of supraventricular tachycardia in children with cardiovascular diseases. Methods A retrospective review of medical records of 44 patients with supraventricular tachycardia admitted to our hospital during the last five years showed that the effects of ATP and cedilanid, Side effects, etc., analysis of the respective advantages and disadvantages of both. Results The recovery rate of ATP was 7787% and the recovery time was 1819 ± 956sec, which were significantly better than cedilanid. This group of data found no serious side effects of ATP. Conclusions ATP, as a fast-acting, fast-acting, high-recovery, and less-toxic side-effect drug, can be used safely with ECG monitoring and emergency medicine preparation and as an emergency treatment for supraventricular tachycardia Preferred drug