Chang C L, Chao A S, Wu C D, Lien R, Cheng P J
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Taipei, Taiwan, ROC.
Changgeng Yi Xue Za Zhi. 1998 Jun;21(2):217-21.
To manage fetal tachyarrhythmia induced hydrops, both a correct diagnosis and adequate intrauterine therapy are fundamentally important. We present a 32-week-gestational-age hydropic fetus with supraventricular tachycardia who responded dramatically after transplacental administration of high dose digoxin (1 mg intravenously daily). The baby was born at 36 weeks' gestation followed by a successful postnatal conversion. Prenatal fetal echocardiography is emphasized in determining appropriate treatment and monitoring fetal well-being which in this case resulted in a good outcome.
为了处理胎儿心律失常引起的水肿，正确的诊断和充分的宫内治疗至关重要。我们报告一例孕32周的水肿胎儿，患有室上性心动过速，经胎盘给予高剂量地高辛（每日静脉注射1毫克）后反应显著。婴儿于孕36周出生，出生后成功转复。产前胎儿超声心动图在确定适当治疗和监测胎儿健康方面具有重要意义，在本例中取得了良好的结果。
