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目的探讨超声心动图在诊断胎儿心律失常方面的临床价值与效果。方法回顾本院120例确诊的胎儿心律失常患者的临床资料,并对其随访至产后1个月。结果 120例胎儿中,发生房性期前收缩84例,占70.00%;发生室性期前收缩15例,占12.50%;发生窦性心动过速10例,占8.33%;发生窦性心动过缓5例,占4.17%;发生室上性心动过速4例,占3.33%;发生心房扑动2例,占1.67%。120例心律失常胎儿,有4例因症状严重,家属选择终止妊娠,其余均自行好转或经治疗好转。结论超声心动图对于胎儿心律失常的诊断有可靠的价值,经检查大多数的胎儿心律失常表现为房性期前收缩和室性期前收缩,一般都是胎儿发育中的正常过程,经过一段时间的发育,一般都能恢复正常,不需要特殊的治疗措施。只有极少部分的胎儿心律失常需要采取治疗措施。
Objective To investigate the clinical value and effect of echocardiography in the diagnosis of fetal arrhythmia. Methods The clinical data of 120 patients with confirmed fetal arrhythmia in our hospital were retrospectively reviewed and followed up to one month after delivery. Results In 120 fetuses, atrial contraction occurred in 84 cases (70.00%), premature ventricular contractions occurred in 15 cases (12.50%), sinus tachycardia occurred in 10 cases (8.33%), sinus tachycardia occurred Slow in 5 cases, accounting for 4.17%; occurred supraventricular tachycardia in 4 cases, accounting for 3.33%; occurred in 2 cases of atrial flutter, accounting for 1.67%. 120 cases of arrhythmia fetus, 4 cases of severe symptoms, family members choose to terminate the pregnancy, the rest are self-improvement or improved by treatment. Conclusion Echocardiography has a reliable value in the diagnosis of fetal arrhythmia. Most of the fetal arrhythmias showed as atrial premature rupture and ventricular premature rupture, which are usually the normal process of fetal development. After a period of Development, generally can return to normal, do not need special treatment. Only a very small percentage of fetal arrhythmias require treatment.