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新生儿心电图新视角。

A new look at the neonatal electrocardiogram.

作者信息

Southall D P, Vulliamy D G, Davies M J, Anderson R H, Shinebourne E A, Johnson A M

出版信息

Br Med J. 1976 Sep 11;2(6036):615-8. doi: 10.1136/bmj.2.6036.615.

DOI:10.1136/bmj.2.6036.615
PMID:963463
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1688206/
Abstract

Among 818 newborn babies whose electrocardiograms (ECGs) were recorded between April 1975 and April 1976 were 57 babies with recordings that fell outside the accepted normal range. Preliminary observations have identified the need to define more clearly the range of normal variation. Twelve babies showed asymptomatic conduction abnormalities, three of which were thought sufficiently serious to need treatment. Two babies died suddenly, one of whom had abnormal conduction on the ECG and histologically demonstrated abnormalities of the conducting system. This continuing prospective study may indicate a link between conducting tissue abnormalities and the sudden infant death syndrome. Ten babies had congenital cardiac anomalies, four of which were first discovered because of an abnormal screening cardiogram. Electrocardiography, a simple and noninvasive procedure, may be a valuable addition to the routine neonatal examination.

摘要

在1975年4月至1976年4月期间记录了心电图(ECG)的818名新生儿中,有57名婴儿的记录超出了公认的正常范围。初步观察已确定需要更明确地界定正常变异范围。12名婴儿表现出无症状性传导异常,其中3例被认为严重到需要治疗。2名婴儿突然死亡,其中1名心电图显示传导异常,组织学检查显示传导系统异常。这项持续的前瞻性研究可能表明传导组织异常与婴儿猝死综合征之间存在联系。10名婴儿患有先天性心脏异常,其中4例是由于筛查心电图异常而首次发现的。心电图检查是一种简单且无创的检查方法,可能是常规新生儿检查的一项有价值的补充。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad09/1688206/4f73b42658dd/brmedj00534-0023-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad09/1688206/4f73b42658dd/brmedj00534-0023-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad09/1688206/4f73b42658dd/brmedj00534-0023-a.jpg

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引用本文的文献

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2
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3
Cardiac rhythm and conduction before and after Mustard's operation for complete transposition of the great arteries.

本文引用的文献

1
Sudden death in babies: new observations in the heart.
Am J Cardiol. 1968 Oct;22(4):479-506. doi: 10.1016/0002-9149(68)90154-9.
2
Hypoxic changes in conducting tissue of the heart in sudden death in infancy syndrome.婴儿猝死综合征中心脏传导组织的缺氧变化
Br Med J. 1973 Apr 7;2(5857):23-5. doi: 10.1136/bmj.2.5857.23.
3
Sudden deaths of babies.婴儿猝死
Circulation. 1976 Jan;53(1):1-2. doi: 10.1161/01.cir.53.1.1.
大动脉完全转位Mustard手术后的心律及传导情况
Br Heart J. 1980 Jan;43(1):21-30. doi: 10.1136/hrt.43.1.21.
4
Study of cardiac rhythm in healthy newborn infants.健康新生儿心律研究。
Br Heart J. 1980 Jan;43(1):14-20. doi: 10.1136/hrt.43.1.14.
5
QT interval measurements before sudden infant death syndrome.婴儿猝死综合征发生前的QT间期测量
Arch Dis Child. 1986 Apr;61(4):327-33. doi: 10.1136/adc.61.4.327.
6
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Br Med J. 1977 Sep 3;2(6087):597-9. doi: 10.1136/bmj.2.6087.597.
7
Prolonged QT interval and cardiac arrhythmias in two neonates: sudden infant death syndrome in one case.两名新生儿出现QT间期延长和心律失常:其中一例为婴儿猝死综合征。
Arch Dis Child. 1979 Oct;54(10):776-9. doi: 10.1136/adc.54.10.776.
8
1028 neonatal electrocardiograms.1028份新生儿心电图
Arch Dis Child. 1979 Jun;54(6):427-31. doi: 10.1136/adc.54.6.427.
4
De subitaneis mortibus. XV. Hereditary stenosis of the His bundle in Pug dogs.《猝死》。十五、哈巴狗希氏束的遗传性狭窄
Circulation. 1975 Dec;52(6):1152-60. doi: 10.1161/01.cir.52.6.1152.