Belhassen A, Vaksmann G, Francart C, Vinatier D, Patey P, Monnier J C
Service de Gynécologie-Obstétrique, CHU, Lille.
J Gynecol Obstet Biol Reprod (Paris). 1987;16(6):795-800.
Description of a case of supraventricular tachycardia at 33 1/2 weeks of pregnancy following a treatment with salbutamol. After failure of digoxin alone then in association with propranolol, amiodarone allowed control of this tachycardia. A baby was born at 36 weeks, his cardiac and thyrodial assessment were normal. Different problems are discussed: the part of salbutamol on the onset of the tachycardia, the limits of fetal monitoring, the use of echocardiography and the various treatments available.
描述一例在妊娠33.5周时使用沙丁胺醇治疗后出现室上性心动过速的病例。单独使用地高辛无效,随后联合使用普萘洛尔也无效,而胺碘酮可控制该心动过速。婴儿于36周出生,其心脏和甲状腺评估正常。文中讨论了不同的问题:沙丁胺醇在心动过速发作中的作用、胎儿监测的局限性、超声心动图的使用以及可用的各种治疗方法。