摘要
目的探讨快速心律失常对新生儿的影响。方法选择2001—2011年我院新生儿科收治的快速心律失常新生儿,均行12导联心电图及动态心电图检测,对快速心律失常的病因、心电图特征、临床类型、治疗及预后进行分析。结果研究期间共收治253例快速心律失常新生儿,室上性心律失常158例,其中房性早搏103例,自律性房速21例,预激综合征并室上性心动过速20例,心房扑动9例,紊乱性房性心动过速5例;室性心律失常95例,其中室性早搏87例,室性心动过速8例。在治疗原发病基础上,大多数患儿不需要抗心律失常药物治疗,对重症患儿给予抗心律失常药物治疗。结论新生儿快速心律失常不需要特殊治疗,随着原发病的治愈或心脏传导系统的不断成熟,大多数良性心律失常可自愈,心律失常不是新生儿死亡的主要原因。
Objective To explore the impact of tachycardia arrhythmia in newborn infants. Methods 12-Lead electrocardiogram and dynamic electrocardiogram were performed on 253 newborn infants with tachycardia arrhythmia hospitalized from 2001 to 2010. Etiologies, electrocardiogram characteristics, clinical features, treatments and prognosis of tachycardia arrhythmia were analyzed. Results Among the 158 neonates who were diagnosed with supra-ventricular arrhythmia： 103 infants had atrial premature beat, 21 infants had automatic atrial tachycardia, 20 infants had pre-excitation syndrome with supra-ventricular tachycardia, 9 infants had atrial flutter and 9 infants had chaotic atrial tachycardia. Among the 95 neonates who were diagnosed with ventricular arrhythmia： 87 infants had ventricular premature beat and 8 infants had ventricular tachycardia. While most patients required only treatments for the primary cause of illnesses, infants in critical conditions were treated with anti- arrhythmic medications. Conclusions Tachycardia arrhythmia in newborn infants does not routinely require treatments with anti-arrhythmic medications. When neonates recover from primary cause of diseases, and with continuous maturation of their cardiac conduction system, most benign arrhythmia will resolve spontaneously. Therefore, arrhythmia is not a major reason that leads to infant mortality in newborns.
出处
《中国新生儿科杂志》
CAS
2013年第3期177-179,共3页
Chinese Journal of Neonatology
关键词
快速心律失常
心电图
预后
婴儿
新生
Tachyarrhythmia
Electrocardiogram
Prognosis
Infant, newborn
