在新生儿期需要电反冲击的心律失常 - - 一个系统性审查
Nathalie Oeffl1, Marlies Krainer2, Stefan Kurath-Koller1
1Division of Pediatric Cardiology, Department of Pediatrics and Adolescent Medicine, Medical University of Graz, 8036 Graz, Austria.
Children (Basel, Switzerland)
|May 27, 2023
概括
电抗震疗法有效治疗新生儿心律失常,特别是心房动. 这份对113名新生儿的综述表明,同步心脏转换是主要的方法,产生了出色的结果.
科学领域:
- 新生儿心脏病学 新生儿心脏病学
- 儿科电子生理学 儿科电子生理学
- 关键护理医学 关键护理医学
背景情况:
- 新生儿心律不整是不常见的.
- 电抗冲击疗法为新生儿心律失常提供了药物治疗的替代方案.
- 目前没有随机对照试验研究新生儿的电抗冲击疗法.
研究的目的:
- 系统地审查所有关于新生儿 (出生后28天内) 电抗冲击疗法的研究.
- 分析与新生儿除,心转动和节奏相关的结果.
- 为了提供对这种治疗方式的全面概述.
主要方法:
- 系统的文献审查.
- 在 MEDLINE,EMBASE,Cochrane CENTRAL 和 CINAHL 数据库中进行了搜索.
- 包括所有报道新生儿电抗冲击治疗的文章.
主要成果:
- 113名新生儿因心律失常而接受了电抗冲击.
- 心房 (76.1%) 是最常见的心律失常,其次是脑上心室高心率 (13.3%).
- 同步心脏转换 (79.6%) 是主要的治疗方法,同时也使用过食道节律调节 (17.7%) 和除 (4.4%).
结论:
- 电抗冲击疗法是新生儿心律失常的有效治疗方法.
- 直接同步的电动心脏转换显示出极好的结果,特别是在心房动.
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