摘要
目的 研究新生儿心律失常的病因、发病机制、心律失常类型、临床表现及预后。 方法 对1986年1月～1998年12月入院并诊断为心律失常的20例新生儿进行临床分析和随访。结果 房性早搏7例,室性早搏7例,各占35％(7/20);室性心动过速2例,窦房结功能不良2例,各占10％(2/20);房扑1例,Ⅰ度房室传导阻滞1例,各占5％(1/20)。转归:心律失常消失16例,占80％(16/20);失访2例,死亡2例,各占10％(2/20)。结论 新生儿心律失常以房性早搏或窒性早搏最常见,常不需要治疗,预后良好。室性心动过速若原发病严重,则预后很差。
Objective To study the neonatal arrhythmias in the etiology, pathogenesis, category, clinical manifestation and prognosis. Methods 20 newborns diagnosed as arrhythmias were analyzed and followed up in the hospital from January 1986 to December 1998. Results 7 cases (35 % , 7/20) were premature atrial contractions and 7 cases (35 %, 7/20) were premature ventricular contractions. The other 2 cases (10 %, 2/20) were ventricular tachycardia, 2 cases ( 10 % , 2/20) were sinus node dysfunction, 1 case (5 % , 1/20) was atrial flutter and 1 case (5 % , 1/20) was I atrioventricular block. Ending: the arrhythmias of 16 cases (80 %, 16/20), disappeared, the other 2 cases (10 % , 2/20) were not followed up and 2 cases (10 % , 2/20) died. Conclusions Of the neonatal arrhythmias, premature atrial or ventricular contractions are most commonly seen and they usually require no treatment and have a good prognosis. But the ventricular tachycardia has a poor prognosis if its primary diseases are severe.
出处
《中国优生优育（1990-2002上半年）》
2000年第4期172-175,共4页
Journal of Improving Birth Outcome and Child Development of China
关键词
新生儿
心律失常
预后
随访
Infant, Newborn
Arrhythmias
Prognosis
