小儿病态窦房结综合征(附6例报告)

SICK SINUS SYNDROME IN CHILDREN REPORT OF 6 CASES

本文报告小儿病态窦房结综合征6例,均系男孩。年龄3～8岁。病程最短10个月,最长已8年。主要临床表现有乏力、头晕及持续性心动过缓。X线检查仅1例心影中度增大。心电图表现:窦性心动过缓3例;结性心律5例;窦房传导阻滞3例;Ⅱ度房室传导阻滞1例;心房扑动及颤动1例。4例经阿托品试验为阳性。4例疑为病毒性心肌炎。2例病因不明,其中1例于胎儿期即有心动过缓,3岁时心电图示结性心律,心房扑动及颤动。文中介绍了本病的病因,临床表现,诊断及防治问题。

Six cases of male patients, ages ranged from 3 to 8 years,with electrocardiographic and clinical evidences of sick sinus syndrome (SSS) are described.The common symptoms, were persistent bradycardin.fatigue and dizziness. X-ray examination demonstrated moderate cardiac enlargement in only one case. Symptoms related to myocarditis in 4, and one might be a case of congenital SSS.Although SSS occurs most frequently in children with congenital heart disease,particularly following correction cardiae surgery, it may occurs in acquired herat disease or otherwise normal individual. Recognition of the SSS in childhood is important and the treatment must he given according to the severity of symptoms.