从胎儿期延续至新生儿期的心房扑动三例报告(附文献复习)

目的 探讨新生儿心房扑动(简称房扑)的起病、病因、治疗及预后. 方法回顾分析2005年至2007年我院新生儿病房收治的3例房扑患儿的起病、治疗和预后,并对相关文献进行复习和总结. 结果 3例患儿药物治疗有效,随访结果预后较好,分别随访至8个月和2岁,房扑未复发. 结论宫内胎儿房扑应积极给孕母治疗,新生儿房扑可选择药物治疗、食道心房超速起搏及直流电复律等,预后较好.

Fetal and neonatal atrial flutter-report of 3 eases and literature review

Objective To understand the onset, causes, treatment and prognosis of neonatal atrtial flutter. Methods Clinical data of 3 cases of neonatal atrial flutter which was detected before birth and admitted to our hospital after birth from 2005 to 2007 were collected. The onset, causes, treatment and prognosis of the 3 cases were analyzed and literature were reviewed. Results Medication in these 3 eases before and after birth was effective and no recurrence was reported when followed up at 8 months and the age of 2. Conclusons Fetal atrial flutter should be managed actively by providing medication to the mothers and those remained after birth can be managed by medication, transesophageal overdrive atrial pacing or direct electrical eardioversion with good outcomes.