小儿心律失常120例临床分析

目的总结小儿心律失常的临床特点，并通过分析病因、类型等为小儿心律失常的诊断和治疗提供进一步的指导依据。方法回顾性分析120例心律失常患儿的临床资料，包括性别、年龄、病程、病因、类型的构成比以及治疗与转归等情况。结果在120例心律失常患儿中，心源性疾病51例（42．5％），非心源性疾病的69例（57．5％）；窦性心律失常的患儿63例（52．5％），异位心律失常的患儿35例（29．2％），传导异常的患儿22例（18．3％）；经治疗后心律失常消失97例（80．8％），好转13例（10．8％），无明显改变10例（8．3％）。结论小儿心律失常病因复杂，类型较多，以窦性心律失常表现为主；治疗时主要针对患儿的原发病。对于部分严重心律失常的患儿在药物治疗效果不佳的情况下，还可以选择电击复律、电起搏、射频消融术等非药物治疗，总体预后较好。

Clinical analysis of 120 children with arrhythmias

Objective To summarize the clinical features of pediatric arrhythmia; to provide further guid- ance to diagnosis and treatment of pediatric arrhythmias by analyzing the causes and types of pediatric arrhythmia. Methods The clinical data of 120 cases with pediatric cardiac arrhythmias were analyzed retrospectively, including gender, age, duration, cause, arrhythmia type, constitute, treatment and outcome of the situation. Results In 120 cases of arrhythmia in children, the cardiac diseases accounted for 51 cases （42.5 % ） ; the non-cardiac diseases ac- counted for 69 cases （57.5%） ; there were 63 cases （52.5%） with sinus arrhythmia, 35 cases （29.2%） with ec- topic arrhythmia, 22 cases （ 18.3% ） with conduction abnormalities. After treatment, there were 97 cases（ 80.8% ） whose arrhythmia disappeared, 13 cases （ 10.8% ） with arrhythmia improved, l0 cases （8.3%） with no significant changes. Conclusions The etiology of pediatric arrhythmia is complex and the tapes are various. The sinus ar- rhythmia is the most common arrhythmia in children; treatment to primary disease of arrhythmia is important. For some serious arrhythmias in children with poor drug treatments, the electric shock cardioversion, pacing, and radio- frequency ablation and other non-pharmacological treatment of pediatric arrhythmias can be chosen. Overall, the prognosis of pediatric arrhythmia is good.