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经导管室间隔缺损(ventricular septal defect,VSD)封堵术后出现缓慢型心律失常以完全性房室传导阻滞(complete atrio ventricular block,CAVB)报道和研究较多,对其他恶性心律失常研究较少。现报道1例VSD封堵术后5年出现二度窦房传导阻滞、二度房室传导阻滞、心室静止等恶性心律失常的病例,希望引起重视。1临床资料患儿男,6岁,体重22.5kg。因“发现心脏杂音6年”入院。2007年7月于我院经胸心脏超声示:室间隔缺损(隔瓣后型,直径:5.3~5.8mm)。查体:心音有力,律齐,心率96次/min,胸骨左缘3~4肋间可2~3/6
After ventricular septal defect (VSD) occlusion, slow arrhythmia has been reported and studied with complete atrioventricular block (CAVB), and the study on other malignant arrhythmias less. It is reported a case of VSD occlusion 5 years after the second sinoatrial block, second degree atrioventricular block, ventricular static and other malignant arrhythmia cases, hoping to pay attention. 1 Clinical data Children, 6 years old, weighing 22.5kg. Because “found heart murmur 6 years ” admission. July 2007 in our hospital showed transcranial ultrasound: ventricular septal defect (septal, diameter: 5.3 ~ 5.8mm). Physical examination: strong heart sounds, law Qi, heart rate 96 beats / min, sternal left 3 to 4 intercostal 2 to 3/6