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目的:分析儿童阿斯综合征的临床特征,为临床诊治提供参考依据。方法:以2009年1月至2016年1月我院诊治的20例阿斯综合征患者为研究对象,总结分析患儿的主诉、发作类型、治疗以及转归情况。结果:所选20例患儿中,4例法乐氏四联症F4、重度肺动脉狭窄及单心室青紫加重,8例面色灰暗,伴有不同程度紫绀;5例发生昏厥;3例昏厥伴抽搐;发作时心律失常的类型主要有缓慢性心律失常9例,快速性心律失常11例;病因包括先心病11例,病毒性心肌炎2例,低血钾4例,乙胺碘呋酮1例,极重度贫血1例,输血后1例,经急诊抢救成功16例,死亡4例,抢救成功率80%。结论:阿斯综合征具有独特的临床表现,儿童阿斯综合征因其发病率较低容易发生误诊,熟悉识别相关临床特征,有助于早期识别和诊断,及早给予抢救。
Objective: To analyze the clinical features of children with Asperger syndrome and provide a reference for clinical diagnosis and treatment. Methods: From January 2009 to January 2016, 20 cases of Aspergis syndrome treated in our hospital were studied. The main complaints, types of attack, treatment and outcome were analyzed. Results: Of the 20 patients selected, 4 cases of tetralogy of Fallot F4, severe pulmonary stenosis and single ventricle bruising aggravate, 8 cases of dark gray with cyanosis of varying degrees; 5 cases of fainting; 3 cases of fainting with convulsions ; Type of arrhythmia attack mainly in 9 cases of bradyarrhythmia, tachyarrhythmia in 11 cases; causes include: heart disease in 11 cases, viral myocarditis in 2 cases, hypokalemia in 4 cases, amiodarone in 1 case, 1 case of very severe anemia, 1 case of transfusion after emergency rescue in 16 cases, 4 died, the rescue success rate of 80%. Conclusion: Asperger syndrome has a unique clinical manifestations. Children with Aspergillus syndrome are prone to misdiagnosis because of their low incidence, familiar with the identification of relevant clinical features, help early identification and diagnosis, and early rescue.