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普萘洛尔对糖尿病妊娠胎儿心动过速的影响。

Effect of propranolol on fetal tachycardia in diabetic pregnancy.

作者信息

Teuscher A, Bossi E, Imhof P, Erb E, Stocker F P, Weber J W

出版信息

Am J Cardiol. 1978 Aug;42(2):304-7. doi: 10.1016/0002-9149(78)90916-5.

DOI:10.1016/0002-9149(78)90916-5
PMID:685844
Abstract

Propranolol was administered during the last 20 days of pregnancy to a diabetic woman because of fetal tachycardia (heart rate approximately 200 beats/min). With a daily dose of 160 mg of propranolol, a fetal heart rat of 120 to 160 beats/min could be achieved. Blood concentration of propranolol was measured in the mother and infant after birth. The level in the neonatal blood was 20 percent of the maternal sample, which is definitely higher than expected from animal experiments. No undersirable effect of propranolol treatment was detected. Postpartum, the infant demonstrated paroxysmal supraventricular tachycardia, and propranolol was again essential in maintaining a normal rate.

摘要

由于胎儿心动过速(心率约为200次/分钟),在妊娠的最后20天给一名糖尿病妇女使用了普萘洛尔。每日剂量为160毫克普萘洛尔时,可使胎儿心率达到120至160次/分钟。出生后测定了母亲和婴儿体内普萘洛尔的血药浓度。新生儿血液中的水平为母亲样本的20%,这肯定高于动物实验的预期。未检测到普萘洛尔治疗的不良影响。产后,婴儿出现阵发性室上性心动过速,普萘洛尔对维持正常心率再次至关重要。

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1
Effect of propranolol on fetal tachycardia in diabetic pregnancy.普萘洛尔对糖尿病妊娠胎儿心动过速的影响。
Am J Cardiol. 1978 Aug;42(2):304-7. doi: 10.1016/0002-9149(78)90916-5.
2
Transplacental cardioversion of fetal supraventricular tachycardia with procainamide.用普鲁卡因胺经胎盘对胎儿室上性心动过速进行心脏复律。
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An undeliverable fetus with an ominous fetal heart pattern: an obstetric dilemma.一个胎儿无法娩出且胎心监护图形不祥:产科难题。
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Transplancental cardioversion of intrauterine supraventricular tachycardia with digitalis.用洋地黄经胎盘对宫内室上性心动过速进行心脏复律
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Fetal supraventricular tachycardia. Review of the literature.胎儿室上性心动过速。文献综述。
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Sonographic evaluation of prenatal therapy for fetal supraventricular tachycardia and congestive heart failure. A case report.
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[Intrauterine treatment of fetal tachycardia causing circulatory failure].
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Morphine-induced supraventricular tachycardia in near-term fetus.吗啡诱导的近足月胎儿室上性心动过速。
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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.
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Drug treatment of fetal tachycardias.胎儿心动过速的药物治疗。
Paediatr Drugs. 2002;4(1):49-63. doi: 10.2165/00128072-200204010-00006.
4
Anti-hypertensive therapy with propranolol during pregnancy and lactation.孕期及哺乳期使用普萘洛尔进行抗高血压治疗。
Postgrad Med J. 1981 Jul;57(669):427-30. doi: 10.1136/pgmj.57.669.427.
5
Intrauterine supraventricular tachyarrhythmias and transplacental digitalisation.宫内室上性快速心律失常与经胎盘洋地黄化
Arch Dis Child. 1986 Oct;61(10):996-1000. doi: 10.1136/adc.61.10.996.
6
Management of cardiac arrhythmias during pregnancy. Current concepts.妊娠期心律失常的管理。当前概念
Drugs. 1987 Jun;33(6):623-33. doi: 10.2165/00003495-198733060-00005.
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The pharmacokinetics of antiarrhythmic agents in pregnancy and lactation.抗心律失常药物在妊娠和哺乳期的药代动力学。
Clin Pharmacokinet. 1987 Apr;12(4):253-91. doi: 10.2165/00003088-198712040-00002.