早期诊断新生儿心律失常56例分析

Analysis on 56 Cases of Neonatal Arrhythmia in Early Diagnosis

目的探讨新生儿心律失常的早期诊断及合理治疗。方法分析我科早期诊断的新生儿心律失常及治疗、预后情况。结果新生儿缺氧、感染、先天性心脏病等疾病和药物使用过程中常伴随心律失常的发生,类型以期前收缩(70.2%)、房室传导阻滞(15.8%)、窦性心动过速(3.5%)、窦性心动过缓(3.5%)、室上性心动过速(3.5%)为主,临床上可通过仔细查体、心电监护而早期确诊,经合理治疗后预后较好。结论新生儿心律失常可通过仔细查体、病情观察和监护及早发现,经过合理治疗,大多预后较好,但严重的器质性心脏病合并严重心律失常会引起死亡。

Objective To explore the early diagnosis of neonatal arrhythmias and reasonable treatment.Methods In this study,early diagnosis,treatment and prognosis of neonatal arrhythmia in our department were analysed.Results Aeonatal arrhythmia often accompanied with hypoxia,infection,congenital heart disease and other diseases.Aeonatal arrhythmia also happened in using drug.The primal types are the premature beats（70.2%）,atrioventricular block（15.8%）,sinus tachycardia（3.5%）,bradycardia（3.5%）and supraventricular tachycardia（3.5%）.Early diagnosis is completed by careful clinical examination and ECG.The prognosis is often good by reasonable treatment.Conclusion The most of prognosis in neonatal arrhythmia are good by careful physical examination,disease observation,disease monitoring,early disease detection and proper treatment.but severe structural heart diseases with severe arrhythmia may cause death.