Robert J A, Gormaz G, Heusser F, Urcelay G
Departamento de Obstetricia y Ginecología, Escuela de Medicina, Pontificia Universidad Católica de Chile.
Rev Chil Obstet Ginecol. 1991;56(6):464-8.
A case of nonimmune hydrops fetalis (NIHF) secondary to fetal supraventricular tachycardia (SVT) diagnosed at 33 weeks gestation is presented. Administration of digoxin to the mother yielded normal fetal heart rhythm and frequency as well as progressive resolution of hydrops after 24 hours of initiation of therapy. Causes of NIHF and diagnostic approach are mentioned. Diagnosis and management of fetal arrhythmias are discussed. The successful perinatal outcome obtained in this case and the literature review, recommend the use of antiarrhythmic drugs therapy in cases of NIHF secondary to SVT.
本文介绍了一例孕33周时诊断为胎儿室上性心动过速（SVT）继发的非免疫性胎儿水肿（NIHF）病例。母亲服用地高辛后，胎儿心律和频率恢复正常，治疗开始24小时后水肿逐渐消退。文中提及了NIHF的病因及诊断方法。讨论了胎儿心律失常的诊断和管理。该病例获得的成功围产期结局及文献综述表明，对于SVT继发的NIHF病例，推荐使用抗心律失常药物治疗。
