Characteristics and treatment strategies of emergency children with congenital heart disease
SU Ying
LIU Gui-ying
LI Jia
Abstract：Objective To investigate the clinical features,treatment and outcome of emergency cases of children with congenital heart disease.Methods To analyze the 110 cases of congenital heart disease,including emergency symptoms,signs,treatment and outcome.Results There were 78 cases with infection as emergency symptom,10 cases with hypoxic episodes,9 cases of heart failure,13 cases with other symptoms,6 cases of deaths which included 4 cases with cardiac and resiiratory arrest as initial emergency symptoms and 2 cases with hempotysis and convulsions as initial emergency symptoms and died later due to exacerbations.Emergency clear infection in children were given azithromycin,cephalosporins.For wheezing,expectoration children were given oxygen atomization budesonide and ipratropium bromide.Children with convulsion were given oxygen and sedation in emergency.Children with heart failure were given oxygen and intravenous use of diuretics.Four cases [1 case of complete endorcardia cushion defect associated with pulmonary hypertension (PH),1 case of ventricular septal defect (VSD),and 2 cases of VSD with PH) also received milrinone 0.25-0.5 μg/(kg · min) intravenous for 4-6 hours and admitted to hospital after condition stabilized.Nine cases of hypoxic seizures in children were given oxygen and 10％ chloral hydrate enema treatment.Another case of hypoxic seizures patient with transposition of great arteries with VSD received the same treatment with no effectiveness.The patient then received 5％ sodium bicarbonate to correct acid overdose.Patient's symptoms were reduced after iprostadil [5 ng/(kg · min)] was pumped in.Cardiopulmonary resuscitation was prescript to 4 cardiac and respiratory arrest patients immediately.Three cases of children with pulmonary hypertension associated with hemoptysis used bosentan.One hundred and four patients' symptoms were alleviated and 6 cases of death occurred.Conclusions Associated infection is the most common cause of emergency visits for children with congenital heart disease.Ipratropium bromide atomization is a safe and effective method for associated wheezing patients.Milrinone can be used on children with heart failure.Alprostadil can effectively alleviate pulmonary artery high pressure caused hypoxia attack.
Keywords：Congenital heart diseaseChildrenEmergencyTreatment
Publication Date：2013-03-30
Online Publishing Date：2026-09-14(First online date of this platform, not the publication date of the document)
Pages：3( 302-304 )