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目的:通过回顾我院近年来经产前超声诊断的胎儿心律失常病例,分析总结胎儿心律失常的病例特征。方法:应用二维、彩色多普勒、M型超声对胎儿心脏节律进行重点观察,汇总分析各种心律失常的发病类型、伴随异常情况、母体健康状况等。结果:胎儿心律失常类型,以偶发房早最多见,其次为偶发室早,其他类型还有房室传到阻滞、阵发性心动过速。结论:产前超声对胎儿心率失常的诊断较为可靠,并可对其类型进行进一步分析,对判断预后,指导临床具有重要价值。
Objective: To review the case characteristics of fetal arrhythmia by reviewing the cases of fetal arrhythmia diagnosed by prenatal ultrasound in our hospital in recent years. Methods: Fetal heart rhythm was observed by two-dimensional, color Doppler and M-mode ultrasonography. The types of arrhythmia, abnormalities and maternal health status were summarized and analyzed. Results: The type of fetal arrhythmia was the most common in all occasional cases, followed by sporadic premature ventricular contractions. Other types of ventricular arrhythmia also had atrioventricular block and paroxysmal tachycardia. Conclusion: Prenatal ultrasound is more reliable for the diagnosis of fetal heart rate disorders, and its type can be further analyzed. It is of great value in judging the prognosis and guiding clinical practice.