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作者报告16例小儿先天性完全性房室传导阻滞,发生晕厥,心脑缺血综合征8例,呼吸道、消化道感染及静滴异丙肾素为可能诱因。3例惊厥发作时电监测为多发性早搏,室性心动过速,室性纤颤,揭示室性紊乱心律是本病发生晕厥、惊厥的重要因素,致死关键。根据本文病例临床经过和文献复习,提出本病高危患者几点特征:①心室率婴儿<55次/分,儿童<45次/分,复合先心病者<95~70次/分;②有晕厥、
The authors report 16 cases of children with congenital complete atrioventricular block, syncope, 8 cases of syndrome of cerebral ischemia, respiratory tract, gastrointestinal tract infection and intravenous isotretinoin as possible triggers. Three cases of seizures when the electrical monitoring of premature beats, ventricular tachycardia, ventricular fibrillation, revealing ventricular arrhythmia is the occurrence of syncope, convulsions of the important factors, the key to death. According to the clinical and literature reviews of this case, the authors put forward some characteristics of high-risk patients with this disease: (1) the rate of infants with ventricular rate <55 beats / min, children <45 beats / min, patients with complex congenital heart disease <95-70 beats / min; ,