新生儿心律失常的诊断、治疗及随访
Diagnosis, treatment and follow up of neonatal arrhythmias.
作者信息
Binnetoğlu Fatih Köksal, Babaoğlu Kadir, Türker Gülcan, Altun Gürkan
机构信息
Medical Faculty, Çanakkale Onsekiz Mart University, Çanakkale, Turkey.
Department of Paediatric Cardiology, Kocaeli University, Kocaeli, Turkey.
出版信息
Cardiovasc J Afr. 2014 Mar-Apr;25(2):58-62. doi: 10.5830/CVJA-2014-002.
OBJECTIVE
This study aimed to evaluate the aetiology, spectrum, course and outcomes of neonates with arrhythmias observed in a tertiary neonatal intensive care unit from 2007 to 2012.
METHODS
Neonates with rhythm problems were included. The results of electrocardiography (ECG), Holter ECG, echocardiography and biochemical analysis were evaluated. The long-term results of follow up were reviewed.
RESULTS
Forty-five patients were male (68%) and 21 (32%) were female. Fifty-five patients (83.3%) were term, 11 (16.6%) were preterm, and 34% were diagnosed in the prenatal period. Twenty cases (30.3%) had congenital heart disease. Twenty-three patients (34.8%) were diagnosed during the foetal period. The most common arrhythmias were supraventricular ectopic beats and supraventricular tachycardia (SVT) at 39.3 and 22.7%, respectively. SVT recurred in five patients after the neonatal period.
CONCLUSION
Supraventricular ectopic beats and SVT were the most common arrhythmias during the neonatal period. Although the prognosis of arrhythmias in the neonatal period is relatively good, regular monitoring is required.
目的
本研究旨在评估2007年至2012年在一家三级新生儿重症监护病房观察到的新生儿心律失常的病因、范围、病程及转归。
方法
纳入有节律问题的新生儿。评估心电图（ECG）、动态心电图、超声心动图及生化分析结果。回顾随访的长期结果。
结果
45例为男性（68%），21例（32%）为女性。55例（83.3%）为足月儿，11例（16.6%）为早产儿，34%在孕期确诊。20例（30.3%）患有先天性心脏病。23例（34.8%）在胎儿期确诊。最常见的心律失常分别是室上性早搏和室上性心动过速（SVT），发生率分别为39.3%和22.7%。5例患者在新生儿期后室上性心动过速复发。
结论
室上性早搏和室上性心动过速是新生儿期最常见的心律失常。尽管新生儿期心律失常的预后相对较好，但仍需定期监测。
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