新生儿心律失常95例分析

Analysis on Neonatal Arrhythmia

目的探讨常规心电图对新生儿心律失常早期诊断的重要性。方法采用常规心电图检查住院危重新生儿1 500例,发现心律失常95例(6.3%)。结果期前收缩31例(32.6%),显著窦性心动过缓15例(15.8%),房室传导阻滞17例(17.9%),阵发性室上性心动过速10例(10.5%),阵发性室性心动过速3例(3.2%),心房扑动5例(5.3%),心房颤动4例(4.2%),复合心律失常10例(10.5%)。结论为提高新生儿心律失常早期诊断率,应注意认真、仔细听诊,对高危儿除常规心电图检查外,应予心电监护。必要时行24 h动态心电图监测。

Objective To discuss the importance of early diagnosis of neonatal arrhythmia with ECG. Methods There were 1500 cases of hospitalized severe neonate who were detected with routine ECG. There were 95 cases of arrhythmia. Results There were presystolie contraction 31 eases, sinus bradyeardia 15 eases, AV blockage 17 cases, paroxysmal supraventrieular arrhythmia in 10 cases, paroxysmal ventrieular arrhythmia in 3 cases, atrial flutter in 5 eases, atrial fibrillation in 4 eases and complex arrhythmia in 10 cases. Conclusion The detail body examination should be taken and ECG for high risk neonate to improve the early diagnosis of arrhythmia. The ECG monitor should be taken ff necessary.