早产儿房间隔膨出瘤并发心房扑动同步电复律成功一例  

Successful treatment of atrial flutter with synchronized electrical cardioversion in a premature infant with atrial septal aneurysm

作　　者：杨晓玲 张桂菊 Yang Xiaoling;Zhang Guiju(Department of Pediatrics,the Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250011,China;Department of Pediatrics,the First Clinical Medical College,Shandong University of Traditional Chinese Medicine,Jinan 250014,China)

机构地区：[1]山东中医药大学附属医院儿科,济南250011 [2]山东中医药大学第一临床医学院儿科,济南250014

出　　处：《中华围产医学杂志》2020年第8期552-555,共4页Chinese Journal of Perinatal Medicine

摘　　要：本文报道了1例房间隔膨出瘤并发心房扑动早产儿的诊断及治疗过程。患儿男,胎龄35周+2,因"心动过速、气促、呻吟15 min"入院。患儿母亲胎心监护提示胎动过速,胎心率230~240次/min,急诊剖宫产分娩。患儿入院心电图显示心房扑动,心房率440次/min,心室率220次/min,呈2∶1传导;超声心动图提示房间隔膨出瘤、动脉导管未闭、卵圆孔未闭。用去乙酰毛花苷、胺碘酮24 h,未恢复窦性心律,后用同步电复律电能为4 J(1.8 J/kg),患儿恢复窦性心律。随访至2019年12月18日(纠正胎龄41周+4),患儿心房扑动未再复发。This is a case report of the diagnosis and treatment of atrial flutter with atrial septal aneurysm in a preterm infant.A male neonate born at 35+2 weeks was delivered by emergent cesarean section due to fetal tachycardia(230-240 bpm)observed during electronic fetal monitoring.The baby was admitted due to tachycardia,tachypnea,and grunting for 15 min after birth.The electrocardiogram demonstrated atrial flutter with the atrial rate of 440 bpm and the ventricular rate of 220 bpm,and 2∶1 atrioventricular conduction.The echocardiography revealed atrial septal aneurysm,patent ductus arteriosus,and patent foramen ovale.Cedilanid and amiodarone were administered firstly.The sinus rhythm was restored after synchronized electrical cardioversion with 4 J(1.8 J/kg).There was no recurrence of atrial flutter during follow-ups till December 18,2019,with a corrected gestational age of 41+4 weeks.

关 键 词：心脏室壁瘤 心房扑动 电抗休克 婴儿 早产 

分 类 号：R722.6[医药卫生—儿科]