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本文就200例经Holter或常规心电图诊断的心律失常患儿,对其中31例并存多种心律失常及危害严重的心律失常进行10至24年的随访。除1例扩张型心肌病、频发室早伴短阵室速患儿于随访期猝死外,余30例中消失9例,好转17例,仅4例无改善。重点阐述了小儿严重心律失常与成人相比,在病因、临床表现、预后及转归上均有不同。强调了对无症状性、非持续性的心律失常,无需长期预防性治疗,但需定期随访观察,尤以心功能状态的随访,更为重要。
In this paper, 200 cases of Holter or conventional ECG diagnosis of arrhythmia in children, including 31 cases of multiple arrhythmias and serious adverse cardiac arrhythmia for 10 to 24 years follow-up. Except for 1 case of dilated cardiomyopathy, the frequency of early ventricular tachycardia in children with sudden ventricular ejection fraction sudden death at follow-up, the remaining 30 cases disappeared in 9 cases, improved in 17 cases, only 4 cases without improvement. Focus on the pediatric serious arrhythmia compared with adults, the etiology, clinical manifestations, prognosis and prognosis are different. Emphasis on asymptomatic, non-sustained arrhythmia, without long-term preventive treatment, but regular follow-up observation, especially in follow-up of cardiac function status, more important.