【摘要】 目的:通过分析23例胎儿心律失常患者的临床特点及预后,探讨胎儿心律失常的临床意义及处理方法。方法:回顾性分析中山大学附属第三医院23例胎儿心律失常的临床表现、诊断、治疗及胎儿预后。结果:胎儿心律失常的发生率为0.16%,23例胎儿心律失常病例中,6例为胎儿心动过速,2例为胎儿心动过缓,15例为胎儿心律不齐。18例产前进行了胎儿超声心动图检查,其中6例提示卵圆孔增大,1例提示胎儿心胸比例增大,其余心脏结构未见明显异常。除1例引产外,22例新生儿均存活,5例为先天性心脏病(其中1例产前检查提示卵圆孔增大),2例为新生儿心肌炎。结论;胎儿心律失常的发生率不高,多数病例预后较好。部分病例为先天性心脏畸形,产前检查难以发现,因此在产后要对新生儿进行详细检查。更多还原

【Abstract】 Objective:To analyze the clinical features and prognosis of 23 cases with fetal arrhythmia,explore the clinical significance and treatment of fetal arrhythmias.Methods:Clinical manifestations,diagnosis,treatment and prognosis of 23 cases with fetal arrhythmias were analyzed retrospectively.Results:The incidence of fetal arrhythmias was 0.6%,including of 6 cases of fetal tachycardia,2 cases of fetal bradycardia and 15 cases of irregular fetal cardiac rhythm.18 cases received fetal echocardiography,and 6 cases showed foramen ovale enlargement,one case indicated cardiothoracic ratio enlargement,the others didn’t showed obvious structural abnormalities.Except one case terminating pregnancy by induced labor,the others survived and 5 of them were identified as congenital heart disease(one of them indicated foramen ovale enlargement by antenatal examination),2 of them were diagnosed as neonatal myocarditis.Conclusion:The incidence of fetal arrhythmia is not very high,the prognosis of most cases are well,but some of them are cardiac malformation which is hard to discover in antenatal examination,follow-up of the neonates is necessary.更多还原