Recently, the emergency department 120 emergency sent a critically ill child, parents said that the child at home drowsiness, refusal of milk, vomiting, often appeared both eyes staring, to the Harbin University of First Hospital Qunli Branch Neonatal Intensive Care Unit, the child's state is critical, dark skin color, breathing difficulties, convulsions, heart rate of 294 times / minute!
Professor Fu Zhongqiu of the Neonatal Intensive Care Department of the Qunli Hospital of Harbin Medical University urgently set up a rescue and treatment team, first of all, the tracheal intubation ventilator assisted ventilation to give respiratory support, calming shock, and urgently did the bedside electrocardiogram, the ELECTROCARDI prompted that it was ventricular tachycardia, and the child's blood pressure was unstable, this emergency situation was difficult to maintain simply by drugs, the incidence of sudden death was extremely high, and its fastest and most effective way was electrical defibrillation combined drug treatment, after two effective defibrillations, the effect was immediately visible and the heart rate returned to 162 times / min. Under the meticulous care of medical staff, the child gradually improved and was successfully discharged from the hospital.
Professor Fu Zhongqiu introduced that "neonatal arrhythmias are abnormal changes in myocardial autonomy, excitability and conductivity, resulting in abnormal heart rhythms that are different from the normal rhythm of the heart, mainly including abnormalities in rhythm, frequency, heart beat site or order of ECG activity. The incidence of neonatal arrhythmias ranges from 0.5% to 4.8%, and preterm infants, low birth weight infants, and organic heart disease are risk factors for the disease. The main manifestations of children are: facial pallor, milk refusal, vomiting, drowsiness, and in severe cases, coma, heart failure, shock, and even sudden death. For this situation, early diagnosis, early treatment, and active treatment of the primary disease are recommended. ”
As a neonatal critical care center in Heilongjiang Province, the Neonatal Critical Care Department of the Qunli Branch of the First Hospital of Harbin Medical University has assumed the clinical diagnosis and treatment responsibility for difficult, severe and complex cases of newborns, and all medical staff have guarded the bright future of babies with the most sincere doctors!
Source: The First Hospital of Harbin Medical University
Author: Sun Hongjing Zhou Xiyao Yu Miao
Editor-in-Charge: Jia Yufei