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本文总结3例临床诊断为病毒性心肌炎伴阿斯发作,经用经静脉心内膜双极按需型临时起搏而抢救成功。患儿均为男性、学龄儿童,起病急。以反复惊厥,心源性休克为主耍表现。心电图示高度或完全性房室传导阻滞。入院后均反复应用肾上腺皮质激素,异丙肾,阿托品,维生素丙、能量合剂以及心外叩击等抢救措施,仍不能控制阿斯发作。于入院后24小时内给予按装人工心脏起搏器,经起搏后,全身情况迅即改善,面色转红,血压趋稳定。维持起搏38～83小时后,均恢复了稳定的窦性心律。因此我们认为,人工心脏起搏,对控制阿斯发作的可靠性优于单纯药物应用。此外本文还简略讨论了起搏器的按装、起搏并发症及起搏导管留置时间等问题。
This article summarizes 3 cases of clinical diagnosis of viral myocarditis with Asperger’s disease, by intravenous endocardial bipolar on-demand temporary pacing and rescue success. Children are male, school-age children, acute onset. To convulsions, cardiogenic shock as the main performance. ECG shows a high degree or complete atrioventricular block. After admission, repeated application of adrenal cortex hormones, isoproterenol, atropine, vitamin C, energy mixture and extracorporeal tapping and other rescue measures, still can not control Aspen onset. Within 24 hours after admission by artificial heart pacemaker, by the pacing, the general condition of the immediate improvement, turning red, blood pressure tends to be stable. Maintained patency 38 to 83 hours, were restored stable sinus rhythm. Therefore, we believe that artificial heart pacing is superior to simple drug application in controlling the reliability of Aspen. In addition, this article also briefly discussed the pacemaker installed, pacing complications and pacing catheter indwelling time and other issues.