胎儿心律失常的产前诊断和宫内治疗进展  

Progress in Prenatal Diagnosis and Intrauterine Treatment of Fetal Arrhythmia

作　　者：宋双[1] 乔宠(审校)[1] SONG Shuang;QIAO Chong(Department of Obstetrics and Gynecology,Shengjing Hospital of China Medical University,Shenyang 110003,China)

机构地区：[1]中国医科大学附属盛京医院妇产科,沈阳110003

出　　处：《国际妇产科学杂志》2022年第6期649-654,共6页Journal of International Obstetrics and Gynecology

基　　金：国家自然科学基金(81370735,81771610)。

摘　　要：胎儿心律失常的正确诊断对其治疗至关重要,可根据心律失常类型对胎儿进行个体化治疗,积极改善胎儿预后,提高胎儿存活率,避免不明原因胎儿宫内死亡的发生。临床上胎儿心律失常可分为3种类型:心脏节律不规则、快速心律失常和缓慢心律失常。诊断方式包括胎儿心电图、心磁图、脉冲多普勒及M型超声心动图。大部分胎儿心律失常为良性,通常不需要治疗,但需要密切随访。而对于伴随心功能不全或胎儿水肿的持续性胎儿心律失常,则需要宫内治疗。综述不同类型的胎儿心律失常的诊断方法、病因及治疗方案,加强胎儿宫内管理,改善胎儿围生结局。Correct diagnosis of fetal arrhythmia is very important for its treatment.Individualized treatment of the fetus according to the type of arrhythmia can actively improve the prognosis of the fetus,improve the survival rate of the fetus,and avoid the occurrence of unexplained fetal intrauterine death.Clinically,fetal arrhythmias can be divided into three types:cardiac arrhythmia,tachyarrhythmia and bradyarrhythmia.Diagnostic methods include fetal electrocardiogram,magnetocardiogram,pulse Doppler and M-mode echocardiography.Most fetal arrhythmias are benign and usually do not require treatment,but require close follow-up.For persistent fetal arrhythmias with cardiac insufficiency or fetal edema,intrauterine treatment is required.This article summarizes the diagnosis methods,causes and treatment plans of different types of fetal arrhythmias,strengthen intrauterine management,and improve the perinatal outcome of the fetus.

关 键 词：胎儿 心律失常 心性 心动过缓 心动过速 诊断 治疗 

分 类 号：R714.5[医药卫生—妇产科学]