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[胎儿室上性心动过速伴全身水肿并发良性期前收缩:氟卡尼治疗。附1例报告]

[Fetal supraventricular tachycardia with anasarca complicating benign extrasystole: treatment with flecainide. Apropos of a case].

作者信息

Hamel P, Febbraro W, Barjot P, Lindet Y, Muller G, Iselin M

机构信息

Servuce de gynécologie obstétrique, CHRU de Caen.

出版信息

Arch Mal Coeur Vaiss. 1997 Mar;90(3):407-10.

PMID:9232080
Abstract

We report a case of fetal supraventricular tachycardia with intra-uterine cardiac failure, who complicate benign premature beats. It was treated with oral administration of flecainide acetate (Flecaine) to the mother. This treatment was rapidly effective. The fetus converted to sinus rhythm in 5 days and the ascites had completely resolved in 10 days. We conclude, that fetus with premature beats must be observed every 15 days, and we believe that flecainide acetate can be used as the "first line agent" to the fetal supraventricular tachycardias with cardiac failure.

摘要

我们报告一例合并良性早搏的胎儿室上性心动过速伴宫内心力衰竭病例。对母亲口服醋酸氟卡尼(氟卡胺)进行治疗。该治疗迅速起效。胎儿在5天内转为窦性心律,腹水在10天内完全消退。我们得出结论,对于有早搏的胎儿必须每15天进行观察,并且我们认为醋酸氟卡尼可作为伴有心力衰竭的胎儿室上性心动过速的“一线药物”。

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