新生儿心律失常67例临床分析

目的 :了解新生儿心律失常的病因、临床特点及治疗方法。方法 :对 67例新生儿心律失常临床资料进行分析。结果 :67例中感染性疾病 2 8例 ( 4 1 .8% ) ,围产期缺氧 1 7例( 2 5 .4% ) ,原因不明 1 1例 ( 1 6.4% ) ;心律失常类型 :早搏 42例 ,各类快速性心律失常 1 4例 ,传导异常 6例 ;67例中 63例存活 ,60例心电图恢复正常 ,总有效率 89.6% ( 60 /67)。结论 :新生儿心律失常病因以缺氧及感染为主 ,临床以室上性早搏多见 ,快速性心律失常常表现为气促、烦躁、面色苍白、紫绀等非特异性症状。新生儿心律失常大多无须特殊治疗 ,快速性心律失常及 度以上房室传导阻滞经积极治疗后 ,预后良好

Clinical analysis of neonatal arrhythmia(an analysis of 67 cases)

Objective:To understand the causes, clinical characteristics and treatment of neonatal arrhythmia. Methods:The clinical data of 67 cases with neonatal arrhythmia were analyzed. Result:Infectious diseases 28 cases(41.8%),anoxia in perinatal period 17 cases(25.4%),the unknown causes 11 cases(16.4%).Of these 67 cases with neonatal arrhythmia ,premature beats 42 cases, fast arrhythmia 14 cases, atrioventricular block 6 cases.63 cases of all cases were lived ,ECG of cases returned to normal.The total effective rate was 89.6%(60/67). Conclusion:Infection and anoxia are main factors of neonatal arrhythmia , premature super ventrionlar beats were found mostly ,the main symptoms included short breath, irritability, gray, cyanosis in fast arrhythmia . Special treatments for most of neonatal arrhythmia don't need,and give quickly treatment for fast arrhythmia and AVB over Ⅱdegree should bring good prognosis.