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目的 提高小儿重症心肌炎抢救的成功率。 方法 将 10例重症心肌炎伴Ⅲ度房室传导阻滞 (简称Ⅲ°AVB)及时安装心脏临时起搏器抢救成功的病例作分析。 结果 8例病程短 ,呈暴发趋势 ,2例患儿在住院期间出现Ⅲ°AVB ,及时安装临时起搏器保证了患儿的心搏出量 ,赢得了抢救的时间和机会 ,其中 2例需要安置永久起搏器 ,1例自行终止治疗 ,7例预后好。 结论 心脏临时起搏器应用的首选适应证为急性心肌炎引起的Ⅲ°AVB伴阿 斯综合征发作 ,应掌握好起搏器使用的注意事项 ,使患儿度过危险期得以生存。
Objective To improve the success rate of pediatric severe myocarditis. Methods 10 cases of severe myocarditis with Ⅲ degree atrioventricular block (referred to as Ⅲ ° AVB) and timely installation of cardiac temporary pacemaker rescue successful cases for analysis. Results Eight patients had a short course of disease with an outbreak tendency. Two patients had Ⅲ ° AVB during hospitalization. Temporary pacemaker was installed to ensure children’s cardiac output and they won the rescue time and opportunity. Two of them needed Permanent pacemaker placement, 1 patient to terminate treatment, good prognosis in 7 cases. Conclusion The preferred indications for the application of temporary cardiac pacemaker are the occurrence of Ⅲ ° AVB with Asperger syndrome caused by acute myocarditis. Precautions should be taken for the use of pacemakers so that children can survive during the dangerous period.