Rotavirus enteritis associated with paroxysmal supraventricular tachycardia Clinical report of 5 cases.docVIP

 PAGE \* MERGEFORMAT 4 Rotavirus enteritis associated with paroxysmal supraventricular tachycardia Clinical report of 5 cases [Keywords:] virus Children with paroxysmal supraventricular tachycardia is a common heart rhythm disorder in children, one of a good prognosis. However, if treatment is not timely, can cause heart failure and other serious consequences. Our hospital in 2004  12 ~ 2005  02 admitted to the emergency in children with paroxysmal supraventricular tachycardia in 5 cases, both children with rotavirus enteritis. Clinical manifestations and treatment will now be reported as follows. A clinical data 1.1 General information on children in this group in 5 cases, 3 males and 2 females. Ages 6 to 13 months, are diarrhea, fever, hospital-based v.. There was no history of congenital heart disease. 1.2 clinical manifestations of five cases of children with the chief complaint in both ‘diarrhea, fever 2 ~ 4 d’ history, behind thin watery stools, more than 10 times / d, temperature 39 ~ 40 ℃ . Pre-hospital treatment is not systematic. On admission were oliguria with dehydration performance. 5 cases were taken at the hospital shortly after the (1 ~ 5 h) appears suddenly crying, irritability, facial hair blue, hand-foot-cold, sweating, skin patterns, apathetic with fever and other symptoms. Auscultation heart amp;quot;240 times / min, rhythmic regularity, strength consistent. Emergency transferred to intensive care unit treatment. 1.3 Jicha admission examination after admission blood gas analysis and ion, improve the blood biochemical examination, five cases of children have varying degrees of dehydration and acidosis exists, increased myocardial enzymes, ion disorder. Rotavirus-positive stool test (laboratory method ‘gold standard’ reagent quick inspection method). Jicha electrocardiogram are in line with paroxysmal supraventricular tachycardia. 1.4 cause of rotavirus (RV) infection. 1.5 Treatment of 5 cases of children being admitted to hospita