Transthoracic Pacing in a Very Low Birth Weight Infant with Congenital Complete Atrioventricular Block
Transthoracic Pacing in a Very Low Birth Weight Infant with Congenital Complete Atrioventricular Block
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先天性完全性房室传导阻滞的极低出生体重婴儿的经胸起搏
DOI：
10.1111/j.1540-8159.2000.tb00863.x
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发表时间：
2000
期刊：
影响因子：
--
通讯作者：
H. Versmold
中科院分区：
文献类型：
--
作者：
J. Nürnberg;Y. Weng;M. Oeff;P. Lange;H. Versmold
我们报告我们的经验起搏器治疗早产儿830g先天性完全性房室传导阻滞由于母亲干燥综合征。由于胎儿心动过缓、胎动减少和积液，婴儿在估计胎龄26周时通过剖宫产分娩。出生后立即经食管心室起搏并不成功，而采用适应体型的自粘贴片电极经胸起搏可有效提高婴儿心率，直到手术中应用临时心外起搏导线允许外部心脏刺激。
We report our experience of pacemaker treatment in a premature infant of 830 g with congenital complete atrioventricular block due to maternal Sjogren's Syndrome. The infant was delivered by cesarean section at an estimated gestational age of 26 weeks because of fetal bradycardia, decreasing fetal movements, and hydrops. Immediate postnatal transesophageal ventricular pacing was not successful, whereas transthoracic pacing with self‐adhesive patch electrodes adapted to body size resulted in an effective increase of the infant's heart rate until operative application of temporary epimyocardial pacing wires allowed external stimulation of the heart.