Paroxysmal supraventricular tachycardia in children 3 cases of treatment experience.doc

 PAGE \* MERGEFORMAT 6 Paroxysmal supraventricular tachycardia in children 3 cases of treatment experience Of: Liu Jianping, Xu Hongan, Secretary Mary, Wang Mingxia [Keywords:] Tachycardia, treatment, children 2008 Central District, Leshan City of Pediatrics and Child Health Hospital were treated in children with paroxysmal supraventricular tachycardia, 3 cases after treatment is effective, the results reported below. A case report Example 1, children, male, 2 child 1 production, 39 weeks, cesarean section, Ⅰ ° meconium-stained amniotic fluid, cord around the neck for 1 week. For resuscitation 20 min after admission, admission diagnosis: (1 neonatal asphyxia ( mild, (2 neonatal pneumonia, (3 hypoxic ischemic encephalopathy (mild. to the suction, oxygen, and other anti-inflammatory condition improved after treatment. auscultation 3 morning and found heart rate to 270 ~ 300 times / min, to see the ECG heart rate 300 times / min, RR interval of uniform homogeneous, and no P waves, consider: paroxysmal supraventricular tachycardia. immediately to ATP (ATP2 mg rapid bolus, approximately 10 s after the heart rate decreased to 140 ~ 150 times / min, the next day heart rate, 130 ~ 140 / min, no further increase in fast, 7 days cured. 1 per month after six months follow up child health and showed no cardiac abnormalities, normal growth and development. Example 2, children, female, 1 month, due to choking and cyanotic 30 min after the hospital, checking heart rate 310 times / min, breathing 66 times / min, irritable crying noisy, lip cyanosis week, a little rough wet Ming lungs, heart sounds strong, rhythm Qi, liver ribs 1 cm. ECG monitoring of paroxysmal supraventricular tachycardia prompted. to oxygen, suction, when the cry is still noisy after sedation, heart rate, 280 ~ 310 times / min. to the cold packs face 2 times, each time 10 s section, interval 5 min, .30 min after treatment fails to stimulate the throat swab 2 times, heart rate is still fast.