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新生儿心房扑动:三例报告并文献复习

Neonatal atrial flutter: Three cases and review of the literature.

作者信息

Yılmaz-Semerci Seda, Bornaun Helen, Kurnaz Dilek, Cebeci Burcu, Babayigit Aslan, Büyükkale Gökhan, Çetinkaya Merih

机构信息

Division of Neonatology, Istanbul Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, Turkey.

Division of Pediatric Cardiology, Department of Pediatrics, Istanbul Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, Turkey.

出版信息

Turk J Pediatr. 2018;60(3):306-309. doi: 10.24953/turkjped.2018.03.011.

Abstract

Yılmaz-Semerci S, Bornaun H, Kurnaz D, Cebeci B, Babayiğit A, Büyükkale G, Çetinkaya M. Neonatal atrial flutter: Three cases and review of the literature. Turk J Pediatr 2018; 60: 306-309. Atrial flutter (AFl) is known to be a seldom type of fetal and neonatal arrhythmia. Although it could end in severe morbidities such as hydrops fetalis or even death, with early prenatal diagnosis and prompt therapeutic approaches the majority of AFl cases show good prognosis. Neonatal AFl might be resistant to first step therapies. Therefore, secondary agents like flecainide, amiodarone, sotalol and cardioversion, if required, could be influent in perinatal tachyarrhythmia. In addition, close follow-up even after discharge is very important to keep all follow-up appointments. Herein, we present three cases of fetal/neonatal AFl in light of the literature and discuss the characteristics, diagnosis and treatment options.

摘要

伊尔马兹 - 塞梅尔西 S、博尔瑙恩 H、库尔纳兹 D、切贝西 B、巴巴伊吉特 A、比于克卡莱 G、切廷卡亚 M。新生儿心房扑动:三例报告及文献复习。《土耳其儿科学杂志》2018 年;60:306 - 309。已知心房扑动(AFl)是胎儿和新生儿心律失常中较少见的一种类型。尽管它可能导致诸如胎儿水肿甚至死亡等严重并发症,但通过早期产前诊断和及时的治疗方法,大多数 AFl 病例预后良好。新生儿 AFl 可能对第一步治疗有抵抗性。因此,像氟卡尼、胺碘酮、索他洛尔等二线药物以及必要时的心脏复律,可能对围产期快速心律失常有影响。此外,即使出院后密切随访并遵守所有随访预约也非常重要。在此,我们根据文献介绍三例胎儿/新生儿 AFl 病例,并讨论其特征、诊断和治疗选择。

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