论文部分内容阅读
有关新生儿期心律失常的报导日益增多,已引起临床医师的关注,为提高对新生儿心律失常的认识及减少与避免不应有的心律失常发生,我院将1987年8—11月发生较为严重的新生儿心律失常三例报告如下: 例1:女、孕35周早产,双胎之小,体重1900g,生后5小时因青紫、硬肿由婴儿室转入。入院后10小时反复发生呼吸暂停(共7次),呼吸停止2~3分,心率由140降至90~100次,有发绀及肌张力减低。其中第1次、第7次抢救时用异丙基肾上腺素0.3mg,当第七次静推异丙基肾上腺素后患儿,心电图示心室颤动,立刻静推利多卡因1mg后出现短阵性室性早搏(成对出现),
More and more reports about arrhythmia in neonatal period have aroused the concern of clinicians. In order to raise the awareness of neonatal arrhythmia and reduce and avoid the arrhythmia that should not occur, our hospital will occur in August-November 1987 Three cases of severe neonatal arrhythmia report as follows: Example 1: female, 35 weeks pregnant premature birth, twins of small, weight 1900g, 5 hours after birth due to bruising, edema transferred from the baby room. Respiratory apnea (7 times) occurred repeatedly 10 hours after admission, and stopped breathing for 2 to 3 minutes. The heart rate was reduced from 140 to 90 to 100 times with cyanosis and decreased muscle tone. The first and the seventh rescue with isoproterenol 0.3mg, when the seventh intravenous injection of isoproterenol, electrocardiogram showed ventricular fibrillation, and immediately after intravenous lidocaine 1mg short array Sexual premature ventricular contractions (in pairs),