摘要
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。
Severe cardiac arrhythmias is not rare in chilaren. Because they usually induce striking dis- turbance 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.
出处
《中国小儿急救医学》
CAS
2013年第5期447-451,共5页
Chinese Pediatric Emergency Medicine
关键词
严重心律失常
抗心律失常药物
治疗
儿童
Severe cardiac arrhythmias
Antiarrhythmic druges
Treatment
Children
