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成功治疗导致胎儿水肿的胎儿室上性心动过速。

Successful medical treatment of fetal supraventricular tachycardia that cause hydrops fetalis.

作者信息

Çetin Cihan, Akçabay Çiğdem, Büyükkurt Selim, Özbarlas Nazan

机构信息

Çukurova University Faculty of Medicine, Department of Obstetrics and Gynecology, Adana, Turkey.

Elazığ Research and Education Hospital, Clinic of Obstetrics and Gynecology, Elazığ, Turkey.

出版信息

Turk J Obstet Gynecol. 2014 Sep;11(3):193-195. doi: 10.4274/tjod.56578. Epub 2014 Sep 15.

DOI:10.4274/tjod.56578
PMID:28913017
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5558334/
Abstract

Supraventricular tachycardia (SVT) is the most frequent fetal tachyarrhythmia. Diagnosis is established with M-mode ultrasound and/or Doppler investigation. Untreated cases may develop fetal heart failure and hydrops. Even these cases should not be left untreated - maternal administration of anti-arrhythmic drugs should be undertaken. In this manuscript, we describe a successful treatment with maternal administration of sotalol and digoxin in a fetus that developed hydrops because of SVT.

摘要

室上性心动过速(SVT)是最常见的胎儿心律失常。通过M型超声和/或多普勒检查来确诊。未经治疗的病例可能会发展为胎儿心力衰竭和水肿。即使是这些病例也不应不进行治疗——应进行母体抗心律失常药物治疗。在本手稿中,我们描述了一例因室上性心动过速发生水肿的胎儿,通过母体使用索他洛尔和地高辛成功治疗的案例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b5f/5558334/7450d8d08b07/TJOD-11-193-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b5f/5558334/7450d8d08b07/TJOD-11-193-g1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b5f/5558334/7450d8d08b07/TJOD-11-193-g1.jpg

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本文引用的文献

1
Etiology and outcome of hydrops fetalis: report of 62 cases.胎儿水肿的病因及结局:62例报告
Pediatr Neonatol. 2014 Apr;55(2):108-13. doi: 10.1016/j.pedneo.2013.07.008. Epub 2013 Oct 2.
2
Fetal supraventricular tachycardia, treating the baby by targeting the mother.胎儿室上性心动过速,通过针对母亲来治疗胎儿。
BMJ Case Rep. 2013 Apr 15;2013:bcr2012008515. doi: 10.1136/bcr-2012-008515.
3
Sotalol as first-line treatment for fetal tachycardia and neonatal follow-up.索他洛尔作为胎儿心动过速的一线治疗药物及新生儿随访。
Ultrasound Obstet Gynecol. 2013 Sep;42(3):285-93. doi: 10.1002/uog.12390.
4
Postnatal outcome in patients with fetal tachycardia.胎儿心动过速患者的产后结局
Pediatr Cardiol. 2013 Jan;34(1):81-7. doi: 10.1007/s00246-012-0392-7. Epub 2012 May 26.
5
Effectiveness of sotalol as first-line therapy for fetal supraventricular tachyarrhythmias.索他洛尔作为胎儿室上性心动过速一线治疗的疗效。
Am J Cardiol. 2012 Jun 1;109(11):1614-8. doi: 10.1016/j.amjcard.2012.01.388. Epub 2012 Mar 22.
6
Rapid control of foetal supraventricular tachycardia with digoxin and flecainide combination treatment.地高辛与氟卡尼联合治疗快速控制胎儿室上性心动过速
Cardiol Young. 2012 Aug;22(4):372-80. doi: 10.1017/S1047951111001272. Epub 2011 Sep 29.
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Short-term and long-term outcomes of 214 cases of non-immune hydrops fetalis.214 例非免疫性胎儿水肿的短期和长期结局。
Early Hum Dev. 2011 Aug;87(8):571-5. doi: 10.1016/j.earlhumdev.2011.04.015. Epub 2011 May 17.
8
Prenatal management with digoxin and sotalol combination for fetal supraventricular tachycardia: case report and review of literature.地高辛与索他洛尔联合用于胎儿室上性心动过速的产前管理:病例报告及文献综述
Indian J Med Sci. 2009 Sep;63(9):411-4.
9
Fetal arrhythmia: prenatal diagnosis and perinatal management.胎儿心律失常:产前诊断与围产期管理
J Obstet Gynaecol Res. 2009 Aug;35(4):623-9. doi: 10.1111/j.1447-0756.2009.01080.x.
10
Fetal tachycardia: a role for amiodarone as first- or second-line therapy?胎儿心动过速:胺碘酮作为一线或二线治疗的作用?
Arch Cardiovasc Dis. 2008 Oct;101(10):619-27. doi: 10.1016/j.acvd.2008.08.012. Epub 2008 Nov 21.