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心房扑动在儿科虽属少见,但实为一种不稳定型快速心律失常,病死率较高。因此对小儿心房扑动,尤其对有器质性心脏病患者的心房扑动,都应予转复。在心腔内或经食道放置电极,施行心房超速起搏,以终止心房扑动和其他快速心律失常。此项技术在成人已获成功。本文研究两种心房超速起搏在儿科的应用。方法:23名患者有27次持续心房扑动发作。分成两组:第Ⅰ组15人,伴16次心房扑动发作,平均年龄9.1岁,施行右房高位心内起搏;第Ⅱ组8人,伴有心房扑动发作11次,平均年龄10.4岁,应
Atrial flutter is rare in pediatrics, but it is an unstable type of rapid arrhythmia, high mortality. Therefore, atrial flutter in children, especially those with organic heart disease in patients with atrial flutter, should be resumed. Electrodes are placed intracardially or transesophageally, and an atrial pacing is performed to stop atrial flutter and other tachyarrhythmia. This technique has been successful in adults. This article studies two types of atrial pacing in pediatric applications. METHODS: Twenty-three patients had atrial flutter for 27 episodes. Divided into two groups: group Ⅰ 15 patients with atrial flutter 16 times, average age 9.1 years, the implementation of right atrial high intracardiac pacing; group Ⅱ 8, accompanied by atrial flutter attack 11 times, the average age of 10.4 Year old, should