- 期刊
永久心律調節器裝置於患先天性完全房室傳導阻滯幼兒：一例報告
Permanent Pacemaker Implantation in a Young Child with Congenital Complete Atrioventricular Block: A Case Report
摘要
本文報告一例，15個月男童，因數度昏厥入受診療。理學檢查，體重低於正常兒的3個百分位，心率緩慢（每分鐘50次），沒有心雜音，右肋下可摸到2指寬的肝臟；心電圖呈完全房室傳導阻滯，超音波心圖及心導管血管攝影，沒發現先天性心臟異常，經裝永久性人工心律調節器，心跳調節於每分鐘90；後後病兒心律穩定，經4年追踨，狀況良好。
關鍵字
無資料並列摘要
Congenital atrioventricular block is a congenital disorder of the cardiac conducting system. Pacemaker implantation is the treatment of choice for patients with congenital A-V block if prior medical treatment fails. The criteria for pacemaker implantation in infants and children are (1) frequent syncope (2) heart failure (3) ventricular rate below 55 beats/min (4) ventricular arrhythmia (5) QRS widening in the ECG (6) moderate to severe exercise intolerance. Our experience with a 15-month-old male child is herein presented. The patient suffered from frequent attacks of upper respiratory tract infection, bradycardia and complete A-V block as found on electrocardiograms. At 15 months old, he was admitted again due to respiratory tract infection and several attacks of syncope. Stokes-Adams syndrome was noted several times despite medical treatment. Following implantation of a VVI mode epicardiac pacemaker, the patient’s condition, including resistance to heart failure and respiration, were improved dramatically. He was followed up regularly for 4 years, his heart beat remaining stable.
延伸閱讀
- Weng, K. P., Chiou, C. W., Huang, S. H., Lin, C. C., & Hsieh, K. S. (2005). 先天性完全房室傳導阻斷且心臟結構正常的兒科病人之長期追蹤. Acta Paediatrica Taiwanica, 46(5), 260-267. https://doi.org/10.7097/APT.200510.0260
- 黃金萬、張嘉侃、趙治中、陳維廉、張福庚、吳玉村（1985）。正常兒童及具左至右分流先天性心臓病病童於高濃度氧氣下肺血管阻力變化之研究。Acta Paediatrica Sinica，26(3)，243-248。https://www.airitilibrary.com/Article/Detail?DocID=00016578-198506-26-3-243-248-a
- 江元彰（2012）。叢集式類神經網路應用於到院前心肺功能停止病患之生存率輸入變數靈敏度分析〔碩士論文，元智大學〕。華藝線上圖書館。https://doi.org/10.6838/YZU.2012.00148
- Lu, P. S., Lee, K. T., Wu, P. W., Wang, S. C., & Chang, C. C. (2017). A Rare Complication: Right Ventricular Perforation by Temporary Pacemaker Lead. Journal of Radiological Science, 42(), 39-41. https://doi.org/10.6698/JRS.201712_42.0009
- Wang, Y. H., Ke, H. Y., Cheng, C. C., Lin, T. C., Tsai, C. S., & Lin, C. Y. (2020). Cardiac Tamponade after Removal of a Temporary Pacing Wire for Transcatheter Aortic Valve Implantation: A Case Report. Acta Cardiologica Sinica, 36(3), 276-278. https://doi.org/10.6515/ACS.202005_36(3).20191211A