- 期刊
A Trial of Adenosine for the Termination of Supraventricular Tachycardia in Infancy: A Case Report
核苷酸在嬰兒上心室心博過速的治療：－病例報告
摘要
本例為40天大男嬰，因咳嗽、厭食及臉色蒼白至本院門陽治療，聽診時意外發現心博過速。心電圖顯示心跳每階鐘250次，沒有P波，故診斷為上心室心博過速。經靜脈注射一毫克核苷酸（Adenosine），於注射後25秒變為暫時性完全心室傳導阻礙，且併有潛在性沃夫－巴金森－懷特（Wolff-Parkinson-White，簡稱WPW）症候群，及逆向傳導之P波，這期間病人沒明顯副作用。因此核苷酸的靜脈注射可能是中止上心室心博過速之有效新嘗試，甚至在併有WPW症候群時也是種安全的治療。吾人等報告此病例並討論嬰兒上心室心博過速以核苷酸治療之方法及其優點。
關鍵字
無資料並列摘要
A 40-day-old male infant was admitted due to cough, anorexia and pale face. Rapid heart beat was found accidentally by auscultation. Electrocardiograms revealed supraventricular tachycardia (SVT) with a heart rate up to 250 beats per minute, and an absence of P waves. Intravenous bolus injection of 1 mg adenosine terminated the tachycardia, followed by transient complete atrioventricular block, then latent Wolff-Parkinson-White (WPW) syndrome with retrograde P waves. Adenosine may be a new trial for termination of SVT, and also is a safe drug even in the presence of WPW syndrome.
延伸閱讀
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