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文章回顾了217例18岁以前初次发作室上性心动过速患儿的记载资料(平均年龄24月)。女性112例,男性105例。其中49例患先天性心脏病,有26例室上性心动速发生在手术前。23例发生在手术后两周内。217例当中有47例(占22％)额面心电图存在预激综合症(Wolf—Parkison—White Syndrom简称W.P·w)。有38％的年龄在4个月以下的患儿是充血性心力衰竭合并室上性心动过速,仅有19％的患儿年龄在4个月以上(P<0.001)。治疗可以使室上性心动过速在48小时内停止发作(90/142占63％)。有效的短期治疗方法包括地戈辛(57/84占68％),心脏手术(12/28占60％),迷走神经刺激
The article reviewed 217 children with eutopic tachycardia before the age of 18 (mean age, 24 months). 112 females and 105 males. 49 cases of congenital heart disease, 26 cases of supraventricular tachycardia occurred before surgery. Twenty-three cases occurred within two weeks after surgery. Of the 217 patients, 47 (22%) had WPW syndrome (Wolf-Parkison-White Syndrom referred to as W.P.w). Thirty-eight percent of children under 4 months of age had congestive heart failure with supraventricular tachycardia, while only 19% of children were over 4 months old (P <0.001). Treatment can stop supraventricular tachycardia within 48 hours (90/142 accounted for 63%). Effective short-term treatments include Digoxin (57/84, 68%), cardiac surgery (12/28, 60%), vagal stimulation