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The Clinical Significance and Prognosis of Fetal Arrhythmias
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF PERINATAL MEDICINE
- Issue:
- 5
- DOI:
- 10.3760/cma.j.issn.1007-9408.2003.05.004
- Key Word:
- 胎儿;心律失常;心脏缺损,先天性;超声心动描记术
Abstract： 目的总结胎儿心律失常原因, 进一步探讨其临床意义及对胎儿预后的影响. 方法采用回顾性分析方法,对26例胎儿心律失常孕妇的情况、胎儿心律失常的临床表现、诊断方法及长期随诊结果进行总结. 结果胎儿心律失常的发生率为0.2%.26例胎儿心律失常中,3例为胎儿心动过速(11.5%),4例为胎儿心动过缓(15.4%), 19例为不规则胎儿心律(73.1%);胎儿心律失常平均诊断孕周为35+2周(15～41+1周).26例中22例为产前胎心听诊时发现胎儿心律失常;1例为妊娠15周超声检查时发现胎儿心律失常;3例胎心监测发现胎儿心律失常.17例产前进行了胎儿超声心动检查,心脏结构未见异常,其中6例胎儿超声心动检查提示胎儿房性早搏,占35.3%,余未见异常.产后新生儿均存活,随诊24例(92.3%),16例新生儿进行了超声心动检查,其中2例诊断为先天性心脏病,均为房间膈缺损.先天性心脏病新生儿在心律失常胎儿中发生率为7.7%. 结论大多数心律失常的胎儿预后是好的,心脏畸形的发生率很低.对于持续性心率慢的胎儿,需注意心脏结构异常的存在;对于心律失常胎儿的处理采用期待疗法,根据产科指征决定终止妊娠的方式.
- [1]时春艳,宋雷,李源,等.超声心动图的四腔心切面产前诊断胎儿先天性心脏病的价值[J].2002,(7).
- [2]C, Anandakumar,A, Biswas,S S, Chew,etc.Direct fetal therapy for hydrops secondary to congenital atrioventricular heart block.[J].1996,87.
- [3]K G, Schmidt,H E, Ulmer,N H, Silverman,etc.Perinatal outcome of fetal complete atrioventricular block: a multicenter experience.[J].1991,17(6).
- [4]S N, Weindling,J P, Saul,J K, Triedman,etc.Staged pacing therapy for congenital complete heart block in premature infants.[J].1994,74(4).
- [5]S E, Calvin,E P, Gaziano,R P, Bendel,etc.Evaluation of fetal cardiac arrhythmias. Ultrasound findings and neonatal outcome.[J].1992,75(12).
- [6]A M, Groves,L D, Allan,E, Rosenthal.Therapeutic trial of sympathomimetics in three cases of complete heart block in the fetus.[J].1995,92.
- [7]A D, van Engelen,O, Weijtens,J I, Brenner,etc.Management outcome and follow-up of fetal tachycardia.[J].1994,24(5).
- [8]Simpson,JM,Sharland,GK.Fetal tachycardias: management and outcome of 127 consecutive cases.[J].1998,79(6).
- [9]盖铭英,朱文玲.胎儿心律失常[J].1991,026 (6).
- [10]Southall D P,Richards J,Mitchell P,etc.Study of cardiac rhythm in healthy newborn infants.[J].1980.
- [11]J P, Buyon,J, Waltuck,C, Kleinman,etc.In utero identification and therapy of congenital heart block.[J].1995,4.
- [12]Fouron JC,Jaeggi E,Drblik SP.Fetal atrial flutter: diagnosis, clinical features, treatment, and outcome.[J].1998,132(2).