摘要儿童致死性心律失常远比成人少见,且其症状缺乏特异性,对此类患儿的关键急救措施是快速确定心律失常类型并给予适当治疗.若患儿未得到及时治疗,心律失常会导致心肺抑制和心搏骤停.多数存在致死性心律失常的儿童往往在接受心脏专科医生的评估和治疗之前首先在急诊就诊,因此儿科急诊医生必须能够识别致死性心律失常并给予紧急治疗.本文重点介绍儿童常见致死性心律失常和紧急诊断和处理.

abstractsFatal arrhythmias are much less common in children than adults and the symptoms presented may be nonspecific.The critical rescue measures for these patients are to identify and appropriately manage the arrhythmias,since when left untreated,arrhythmias may lead to cardiopulmonary compromise and arrest.Most children with a fatal arrhythmia present to a emergency physician before being referred to a pediatric cardiologist for assessment and management.Thus,the emergency pediatricians have to be able to recognize the fatal arrhythmia and to provide the acute treatment.This article was intended to provide diagnostic and acute management measures of the common types of fatal arrhythmias seen in children.