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目的探讨快速心律失常对新生儿的影响。方法选择2001—2011年我院新生儿科收治的快速心律失常新生儿,均行12导联心电图及动态心电图检测,对快速心律失常的病因、心电图特征、临床类型、治疗及预后进行分析。结果研究期间共收治253例快速心律失常新生儿,室上性心律失常158例,其中房性早搏103例,自律性房速21例,预激综合征并室上性心动过速20例,心房扑动9例,紊乱性房性心动过速5例;室性心律失常95例,其中室性早搏87例,室性心动过速8例。在治疗原发病基础上,大多数患儿不需要抗心律失常药物治疗,对重症患儿给予抗心律失常药物治疗。结论新生儿快速心律失常不需要特殊治疗,随着原发病的治愈或心脏传导系统的不断成熟,大多数良性心律失常可自愈,心律失常不是新生儿死亡的主要原因。
Objective To investigate the impact of tachyarrhythmia on newborns. Methods Twenty-two neonates with tachyarrhythmias admitted to neonatology department of our hospital from 2001 to 2011 were examined by 12-lead electrocardiogram and electrocardiogram. The etiology, electrocardiogram characteristics, clinical types, treatment and prognosis of tachyarrhythmia were analyzed. Results A total of 253 neonates with tachyarrhythmia and 158 cases of supraventricular arrhythmias were enrolled during the study. Among them, 103 cases were atrial premature beat, 21 cases were self-paced tachycardia, 20 cases were pre-excitation syndrome and supraventricular tachycardia. Flutter in 9 cases, 5 cases of atrial tachycardia; ventricular arrhythmia in 95 cases, 87 cases of ventricular premature beats, ventricular tachycardia in 8 cases. In the treatment of primary disease on the basis of the majority of children do not need anti-arrhythmic drug treatment, given to children with severe anti-arrhythmic drug treatment. Conclusion Neonatal tachyarrhythmia does not require special treatment. With the cure of the primary disease or the continuous maturation of the heart conduction system, most of the benign arrhythmias can be self-healing. Arrhythmia is not the main cause of neonatal death.