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[胎儿并行心律——伴有羊水过多和胎儿水肿的罕见胎儿心律失常病例(作者译)]

[Fetal parasystolia--uncommon case of fetal arrhythmia with polyhydramnios and hydrops fetalis (author's transl)].

作者信息

Schlotter C M, Kunz S

出版信息

Z Geburtshilfe Perinatol. 1978 Oct;182(5):371-5.

PMID:366937
Abstract

By direct fetal electrocardiography an arrhythmic pattern comparable with parasystolia was observed during the 38th week of pregnancy. The gestational course was only complicated by polyhydramnios. The record of the FHF was considerably disturbed. The normocardic pattern showed poor irregularity, rarely accelerations and decelerations during labor activity. The ectopic QRS-complex was broadened (0,06--0,08 sec) and frequently raised. Beginning the record the frequency of the parasystolia was lower than the activity of the sinus node. A hydropic neonate was delivered by vacuum and died after bradyarrhythmia 37 minutes after parturition. In spite of intensive clarification the cause of pathology was not detected.

摘要

通过直接胎儿心电图检查,在妊娠第38周时观察到一种与并行心律相似的心律失常模式。妊娠过程仅因羊水过多而复杂化。胎儿心率图记录受到严重干扰。正常心律模式显示不规则性较差,分娩活动期间很少有加速和减速。异位QRS波群增宽(0.06 - 0.08秒)且频繁抬高。开始记录时,并行心律的频率低于窦房结的活动。一名水肿新生儿通过真空吸引分娩,产后37分钟因心律失常死亡。尽管进行了深入排查,但未发现病理原因。

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