摘要
目的应用胎儿超声心动图宫内诊断胎儿快速心律失常并对宫内干预治疗室上性心动过速(SVT)进行跟踪评价。方法对已检出的1900名心律失常胎儿中的121例快速心律失常者,分为窦性心动过速、SVT、SVT合并心衰3组,对后两组胎儿进行宫内地高辛转律治疗。结果胎儿心动过速121例(心率≥180bpm),其中SVT29例(含房颤、房扑7例);余为窦性心动过速92例。SVT组中合并复杂先天性心脏病者7例,胎儿水肿7例。合并先心病均于检查后中止妊娠,其余18例行常压氧治疗或经胎盘给药,首选药物为地高辛。新生儿随访期最长16个月,头颅CT、超声心动图等各项生理指标均正常。结论胎儿超声心动图是目前唯一可迅速检出胎儿心律失常并明确性质的诊断手段,且重复性好。地高辛经胎盘治疗可有效转律并同时控制胎儿心衰减轻水肿且无致畸作用。
Objective： To evaluate the effect diagnosis and therapy on fetal supraventricular tachycardia with fetal echocadiography, Methods ： Of 121 fetuses of 16 - 38 weeks gestational ages with tachycardias found to have arrhythmia in 1900 cases by fetal echocadiography. Results： There were 92 cases for sinus tachycardia and 29 cases for the supraventricular tachycardia （SVT） in 121 cases, seven fetuses on SVT with congenital heart disease and hydrops diagnosed by Doppler echocardiography. Another 22 fetuses without congenital heart disease, 7 of whom were treated with transplacental digoxin and showed excellent responses. The longest time that following up a case by regullar visits to the newbron is 16 monthes, Each physiological index like head CT, Echocardiography is normal, Conclusion ： The fetal echocardiography was an essential and cost effective method for diagrnosis of fetal arrhythmia, The trans- placental digoxin intervention was the first choice in the treatment of the fetal tachyarrhythmia.
出处
《中国优生与遗传杂志》
2006年第9期63-64,共2页
Chinese Journal of Birth Health & Heredity
基金
福建省科技重点课题基金资助[20051014]
