药物复律治疗小儿阵发性室上性心动过速

摘要

Objective:To observe the clinical effects of intravenous drug car-dioversion for children with paroxysmal supraventricular tachycardia (PSVT), and compare the time and side effects for the clinical medication guidelines . Methods:The clinical effects were retrospectively examined in 62 children with PSVT undergone cardioversion with propafenone , cedilanid, ATP and amiodarone.Results:Successful cardioversion achieved in propafenone group by 75.9%,cedilanid by 66.7%,ATP by 69.2% and amiodarone by 75%, suggested no significant difference among the four groups .Conclusion:The four antiarrhythmics have specific nature and indications in use for cardiover -sion in children in compliance with their conditions .%　　目的：观察比较静脉药物治疗小儿阵发性室上性心动过速（ PSVT）的临床疗效、复律时间及不良反应情况，以便指导临床用药。方法：回顾性分析62例阵发性室上性心动过速患儿使用心律平、西地兰、ATP及胺碘酮四种药物复律情况。结果：心律平转复率为75．9％，西地兰转复率为66．7％，ATP转复率为69．2％，胺碘酮转复率为75％，四种药物复律效果差异无统计学意义。结论：几种抗心律失常药物特点及适应证不同，根据患儿病情选择合适的药物有助于复律成功。