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[目的]总结新生儿心律失常的类型,临床特点,治疗和预后。[方法]收集自2005~2009年住院的心律失常的新生儿30例,回顾性分析病历资料。[结果]30例患儿中男13例、女17例;足月儿25例、早产儿5例;胎龄最大的为41周、最小的为33周。心律失常以室上性多见,临床表现不典型。窒息缺氧、感染为主要原因;其次为先天性心脏病;也可见于代谢紊乱;健康新生儿传导系统发育不成熟也是导致心律失常的原因之一。19例期前收缩除给予原发病治疗外,其中10例频发房性早博和室性早博口服心律平,另9例未进行抗心律失常治疗;窦性心动过缓共6例,3例给于阿托品治疗;室上性心动过速3例(其1例合并预激综合症),治疗后痊愈;1例室性心动过速给予利多卡因治疗痊愈;1例心房扑动予以洋地黄类治疗结果痊愈。[结论]新生儿心律失常以室上性占多数,为功能性、暂时性,预后较好,只有部分严重心律失常需药物治疗。
[Objective] To summarize the types, clinical features, treatment and prognosis of neonatal arrhythmia. [Methods] Thirty newborns with arrhythmia admitted from 2005 to 2009 were retrospectively analyzed. [Results] There were 13 males and 17 females in 30 cases. There were 25 full-term infants and 5 premature infants. The largest gestational age was 41 weeks and the smallest was 33 weeks. Arrhythmia is more common in the supraventricular, clinical manifestations are not typical. Suffocation hypoxia, infection as the main reason; followed by congenital heart disease; can also be found in metabolic disorders; healthy neonatal conduction system immature is also one of the causes of arrhythmia. 19 cases of premature contractions in addition to giving the primary disease treatment, of which 10 cases of frequent atrial premature beats and ventricular premature beats oral rhythm, and the other 9 cases were not anti-arrhythmia treatment; sinus bradycardia in 6 cases, 3 Cases given for atropine treatment; supraventricular tachycardia in 3 cases (1 cases with pre-excitation syndrome), cured after treatment; 1 case of ventricular tachycardia treated with lidocaine cured; 1 case of atrial flutter to Yang Rehmannia treatment results recovered. [Conclusion] Neonatal arrhythmia, which accounts for the majority of supraventricular, is functional, transient and has good prognosis. Only partial serious arrhythmia requires medication.