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目的了解小儿室性心动过速（VT）的诊治进展。方法分析临床资料，复习有关文献。结果33例小儿VT，有原发疾病者27例，包括心脏病22例，心外疾病5例，8／33例不需抗心律失常药物治疗。死亡10例均与严重基础疾病相关。结论对静脉用胺碘酮治疗致命的快速心律失常的效果和安全性重新作了很好的评价。射频消融是当今治疗顽固快速心律失常最大的进展。
Objective To investigate the diagnosis and treatment of infantile ventricular tachycardia (VT). Methods Analysis of clinical data, review of the literature. Results Thirty-three children with VT had 27 cases of primary disease, including 22 cases of heart disease, 5 cases of extracardiac disease and 8/33 cases without antiarrhythmic drug treatment. Ten cases of death were related to severe underlying diseases. Conclusions The efficacy and safety of intravenous amiodarone in the treatment of fatal tachyarrhythmia has been reassessed. Radiofrequency ablation is the biggest advance in the treatment of stubborn tachyarrhythmias today.