小儿心房扑动27例临床特点及治疗回顾性分析

Retrospective analysis of clinical characteristics and treatment of 27 cases of atrial flutter in children

目的总结小儿心房扑动的临床特征与治疗。方法回顾性分析2015年1月至2021年1月郑州大学附属儿童医院收治的心房扑动27例临床特点及治疗情况,用t检验比较病因以及发病时心脏射血分数。结果13例心房扑动的发作与紊乱性房性心动过速有关,发病年龄为(3.81±2.59)个月,比非紊乱房性心动过速组的年龄小,差异有统计学意义(t=3.28,P<0.05),其发病时的射血分数与无非紊乱房性心动过速组比较差异无统计学意义(t=1.625,P>0.05);14例停用药物或射频后未发作房扑,6例口服药物未发作房扑;3例口服药物仍发作,心室率控制可;2例起搏治疗,2例失访;结论婴儿期的心房扑动的发作以紊乱房多见,药物治疗效果好,幼儿房扑的治疗应根据不同的病因采用个体化治疗。

Objective To summarize the clinical features and treatment of atrial flutter in children.Methods A retrospective analysis of the clinical characteristics and treatment of 27 cases of atrial flutter admitted to the Children’s Hospital of Zhengzhou University from January 2015 to January 2021,Etiology and cardiac ejection fraction at onset were compared by t-test.Results The onset of 13 cases of atrial flutter was related to disordered atrial tachycardia.The age of onset was 3.81±2.59 months,which was younger than the age of the non-disrupted atrial tachycardia group.The difference was statistically significant(t=3.28,P<0.05).The ejection fraction was not statistical difference between the two groups(t=1.625,P>0.05);14 cases did not have atrial flutter after stopping the drug or radiofrequency,6 cases did not have atrial flutter after taking oral drugs;3 cases still had attacks with oral drugs,and the ventricular rate could be controlled;2 cases were treated with pacing,2 cases were lost to follow-up.Conclusion The onset of atrial flutter in infancy is more common in the disordered atrial tachycardia and the effect of drug treatment is good.The treatment of atrial flutter in infants should be individualized according to different causes.