Gai M Y
Peking Union Medical College Hospital, Beijing.
Zhonghua Fu Chan Ke Za Zhi. 1991 Nov;26(6):355-7, 388.
Nineteen cases of fetal arrhythmia discovered by antenatal auscultation were analyzed. Among them, 14 alive babies were followed up. The occurrence, diagnosis and prognosis of fetal arrhythmia were discussed. 14 cases had normal FHR with arrhythmia, 1 case with tachycardia, 4 with bradycardia. Ultrasonocardiography (USC) was performed in 12 cases. 3 of them had sinus bradycardia with structural abnormalities of heart, they showed fetal distress in labor, neonatal asphyxia and perinatal death. 14 cases were followed up for a period of less than one year to 5 years. Only 2 babies had aurical premature beat by USC, others remain normal.
对产前听诊发现的19例胎儿心律失常进行了分析。其中,对14例存活婴儿进行了随访。讨论了胎儿心律失常的发生、诊断和预后。14例胎儿心率(FHR)正常但有心律失常,1例心动过速,4例心动过缓。12例进行了超声心动图(USC)检查。其中3例窦性心动过缓伴有心脏结构异常,分娩时出现胎儿窘迫、新生儿窒息及围产期死亡。14例随访时间为不到1年至5年。超声心动图检查仅2例婴儿有房性早搏,其他婴儿均正常。