在HEMS干预期间儿童发生的心律失常:回顾性队列研究
Piotr Konrad Leszczyński1, Arkadiusz Wejnarski1, Patryk Rzońca2
1Faculty of Medical Sciences and Health Sciences, University of Siedlce, Siedlce, Poland.
Emergency medicine international
|December 4, 2023
概括
分析了直升机紧急医疗服务 (HEMS) 运输期间的儿科心律不整. 在12岁以下的儿童中,心律失常是最常见的,特别是在较年轻的年龄组.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 紧急医疗 紧急医疗
- 医疗运输 医疗运输
背景情况:
- 医疗运输过程中的心律失常给医疗人员带来了挑战.
- 波兰的直升机紧急医疗服务 (HEMS) 机组人员在飞行期间仔细记录了生命功能.
研究的目的:
- 在HEMS运输的儿科患者 (12岁以下) 中表征心律不整.
- 在这个人群中识别危及生命的节奏和在非医院心脏骤停 (OHCA) 期间发生的节奏.
主要方法:
- 分析了从2011年到2020年期间的90,345次HEMS任务.
- 提取了820例儿科心律失常 (12岁以下) 的病例.
- 对心律失常类型,患者人口统计和年龄相关性的统计分析.
主要成果:
- 超心室性心跳动 (sVT) 是最常见的心律失常 (n=504).
- 血 (n=178) 和无脉冲电活动 (PEA) (n=52) 是第二和第三最常见的.
- 在心律失常类型和患者年龄之间发现了显著的关系 (p < 0.05).
结论:
- 心律不整主要影响0-3岁儿童.
- 随着患者年龄的增加,心律失常的发生率下降.
- 超心室性心律失常是儿科HEMS患者的主要心律失常.
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