胎儿心律失常的研究进展

Research progress of fetal arrhythmia

胎儿心律失常分为胎儿心动过速、胎儿心动过缓以及不规则胎心率,其发病机制尚未明确。目前应用多种超声诊断方法对胎儿心律失常进行综合检查,显著提升了诊断的准确性。不同类型的胎儿心律失常治疗方法也不同,多数情况下不需要治疗,持续性心动过速可采用药物治疗,若为母体免疫因素可给予类固醇药物治疗,胎儿心动过缓应仔细排查胎儿心脏结构是否正常,不规则胎心率应随诊并严密监测胎心情况,药物治疗效果不佳。

Fetal arrhythmias are classified into fetal tachycardia,fetal bradycardia,and irregular fetal heart rate.Its pathogenesis is not yet clear.At present,a variety of ultrasound diagnostic methods are used for comprehensive examination of fetal arrhythmia,which significantly improves the accuracy of diagnosis.Different types of fetal arrhythmias are treated differently.In most cases,no treatment is required.Persistent tachycardia can be treated with drugs.If it is a maternal immune factor,steroid drugs can be given.Fetal bradycardia should be carefully checked for fetal heart structure Normal and irregular fetal heart rate should be followed up and the fetal heart rate should be closely monitored,and the drug treatment effect is not good.