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| 題 名 | Optimizing Management Strategies for Neonatal Supraventricular Tachycardia: Insights from Two Complex Cases=針對新生兒室上性心動過速的治療策略優化:兩例病例報告 |
|---|---|
| 作 者 | 游翔皓; 徐萬夫; 何昇遠; | 書刊名 | 台灣急重症醫學雜誌 |
| 卷 期 | 9:3 2024.09[民113.09] |
| 頁 次 | 頁125-131 |
| 分類號 | 419.84 |
| 關鍵詞 | 心房顫動; 房室結折返性心搏過速; 新生兒; 心室上性心搏過速; Atrial flutter; Atrioventricular reentrant tachycardia; Neonates; Supraventricular tachycardia; |
| 語 文 | 英文(English) |
| 中文摘要 | 背景:心室上性心搏過速仍然是新生兒照護的一大挑戰,其中以房室結折返性 心搏過速 和心房顫動最為常見。儘管產前診斷技術進步,但胎兒超音波檢查的限 制仍可能延遲早期診斷心室上性心搏過速。本報告描述了兩例複雜新生兒心室上 性心搏過速診斷和治療的病例,突顯了其中涉及的複雜性。 病例報告:第一例個案為一例反復發作心室上性心搏過速的新生兒,藉由心電 圖和心臟超音波診斷,其接受藥物包括毛地黃苷、普萘洛爾和普羅帕芬酮,有效 控制了心室上性心搏過速。第二例個案為一名新生兒出現心室上性心搏過速,然 而,在給腺苷注射後,隨後心電圖診斷心房顫動,此病例強調了在藥物干預後須 進行密切監測和重新評估的必要性。 結論:這些病例凸顯了多專科照護在優化心室上性心搏過速的新生兒預後方面 發揮關鍵的作用。仔細的產前監測和早期識別心室上性心搏過速至關重要,及時 診斷,包括治療後的重新評估,和選擇適切的治療方案對於成功治療複雜心律不 整的新生兒並預防其相關併發症至關重要。 |
| 英文摘要 | Background: Supraventricular tachycardia remains a significant challenge in neonatal care, with atrioventricular reentrant tachycardia and atrial flutter being the most common forms. Despite advancements in prenatal diagnosis, limitations in fetal echocardiography can still hinder the early detection of supraventricular tachycardia. This report describes two intricate cases of neonatal supraventricular tachycardia diagnosis and management, highlighting the complexities involved. Case Presentation: The first case involved a neonate presenting with recurrent episodes of supraventricular tachycardia. Electrocardiogram and echocardiogram confirmed the diagnosis. A tailored medication regimen combining digoxin, propranolol, and propafenone effectively controlled the supraventricular tachycardia. The second case underscores the importance of prompt intervention. A neonate presented with supraventricular tachycardia, with the initial electrocardiogram suggesting the arrhythmia. However, following adenosine administration, a subsequent electrocardiogram revealed atrial flutter. This case emphasizes the need for close monitoring and reevaluation after interventions. Conclusions: These cases highlight the crucial role of multidisciplinary care in achieving optimal outcomes for neonates with supraventricular tachycardia. Meticulous prenatal monitoring and early recognition of supraventricular tachycardia are paramount. Timely diagnosis, including reevaluation after interventions, and a tailored treatment approach are essential for the successful management of supraventricular tachycardia and preventing complications in neonates with complex arrhythmias. |
本系統中英文摘要資訊取自各篇刊載內容。