Nüssler E, Klebe J, Olsen S, Bjerregaard P
Z Geburtshilfe Perinatol. 1984 Jan-Feb;188(1):37-40.
A complete fetal heart block was diagnosed in 29 weeks gestation by means of 2-dimensional and M-mode echocardiograms and by analyzing the combined Doppler effect of atrial and ventricular movements. Because of increasing fetal ascites and edema, Digoxin treatment is given from 31 weeks gestation until birth. 30 hours postnatal the child develops congestive heart failure which disappeared completely after pacemaker treatment. We stress the importance of early diagnosis with possibility of prenatal treatment and optimal planning of delivery in cooperation between obstetrician and pediatric cardiologist.
孕29周时，通过二维和M型超声心动图以及分析心房和心室运动的联合多普勒效应，诊断出完全性胎儿心脏传导阻滞。由于胎儿腹水和水肿不断加重，从孕31周开始直至出生给予地高辛治疗。出生后30小时，患儿出现充血性心力衰竭，起搏器治疗后完全消失。我们强调早期诊断的重要性，以及产前治疗的可能性，还有产科医生和儿科心脏病专家合作进行最佳分娩计划。
