综合报道

儿童 J 波综合征 1 例报告并文献复习

  • 赵坚 ,
  •  李筠 ,
  •  肖婷婷 ,
  •  姜逊渭 ,
  •  谢利剑 ,
  •  王健怡
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  • 上海市儿童医院 上海交通大学附属儿童医院心内科(上海 200062)

收稿日期: 2018-05-15

  网络出版日期: 2018-05-15

J wave syndromes in children: a case report and literature review

  •  ZHAO Jian ,
  • LI Yun ,
  • XIAO Tingting ,
  • JIANG Xunwei ,
  • XIE Lijian ,
  • WANG Jianyi
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  • Department of Cardiology, Children’s Hospital Affiliated to Shanghai Jiao Tong University, Shanghai 200062, China

Received date: 2018-05-15

  Online published: 2018-05-15

摘要

目的 探讨J波综合征的临床特征。方法 回顾分析1例因晕厥收治入院的J波综合征患儿的临床资料,并复 习相关文献。结果 男性患儿,10岁,无明显诱因出现晕厥。心电图提示J点抬高,呈Osbron波表现;彩色超声心动图示 心脏结构大致正常,左心室收缩功能正常;脑电图、头颅CT无异常。在随访过程中出现频繁晕厥,并伴有恶性心律失常表 现。结论 J波综合征患者是发生恶性心律失常及心源性猝死的高危人群。

本文引用格式

赵坚 ,  李筠 ,  肖婷婷 ,  姜逊渭 ,  谢利剑 ,  王健怡 . 儿童 J 波综合征 1 例报告并文献复习[J]. 临床儿科杂志, 2018 , 36(5) : 364 . DOI: 10.3969/j.issn.1000-3606.2018.05.011

Abstract

 Objective To explore clinical characteristics of J wave syndromes. Methods Clinical data was retrospectively analyzed in a child with fainting and showing big J wave in ECG. Meanwhile, related literatures were reviewed. Results A 10-year-old boy was admitted to hospital with fainting. ECG showed J point up, reflecting Osbron wave. There was no abnormality in EEG and cranial CT. Ultrasound cardiograph showed approximately normal heart structure and left ventricular systolic function. Fainting was frequently occurred during follow-up and accompanied by malignant arrhythmia. Conclusions Patients with J wave syndromes has high risks of malignant arrhythmia and sudden cardiac death.
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