新生儿心律失常56例临床分析

本文报道经临床表现和心电图确诊新生儿心律失常56例,其中房性早搏15例(26.7%),室性早搏12例(21.4%),室上性阵发性心动过速10例(17.8%),先天性房室传导阻滞6例(10.6%),窦性心动过缓6例(10. 6%),右束支阻滞6例(10.6%),新生儿心律失常类型以房性早搏最多:其次是室性早搏、室上性阵发性心动过速、房室传导阻滞.新生儿心律失常的病因以感染为主,本文感染29例(51.7%),其次心脏结构异常,先天性房室传导阻滞6例(10.6%),文中讨论了新生儿心律失常的治疗及其结果.

Clinical analysis of 56 cases with neonatal ar-rhythmia.

This paper presents: 56 cases with proven neonatal arrhythmia based on clinical manifestations and ECG tracing included 15 cases with atri-cal premature beats (APB) (26.7%), 12 cases with ventricular premature beats (VPB) (21.4%), 10 cases with paroxysmal supraventricular tachycardia (PSVT) (17.8%), 6 cases with congeital atrioventricular block (10. 6%), and 6 cases with sinus bradycardia (10.6%), 6 cases with right branch block (10.6%). APB is the type most commonly seen of neonatal arrthythmia, and then VPB, PSVT and atrioventricular block. The pathogeny is dominated by the infection. (29 cases with infection in this article, 51.7%), and then abnormal structure of heart, congenital atrioventricular block. Most of patients with neonatal arrhythmia don't need special treatment, particularly transient arrhythmia (e.g. APB, VPB), it can automatically disappear, ATP by acute IV push responds well to PSVT, for the congenital atrioventricular block, there is no specific therapy. The outcome of neonatal arrhythmia depends upon the severrity of general disease and the degree arrhythmia , hence treating general disease is improtant to it. The outcome of disense is quite good without serious complication or organically herat attack, there are only 6 fatal cases in this group.