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目的探讨21例新生儿心律失常的临床特点、治疗与预后。方法回顾性分析21例心律失常新生儿的临床资料及随访资料。结果 21例患儿中,男14例,女7例;良性心律失常16例,无明显临床症状,其中房性早搏9例,室性早搏3例,室性早搏合并房性早搏4例;非良性心律失常5例,有临床表现或心源性休克,其中阵发性室上性心动过速3例,心房颤动1例,心房颤动合并心房扑动1例;良性心律失常患儿在原发病治疗的基础上予抗氧自由基、营养心肌治疗,预后良好。非良性心律失常患儿经药物转律后心律失常消失。存活20例,死亡1例。结论新生儿心律失常多数为良性心律失常,无明显临床症状,主要针对原发病治疗;少数为非良性心律失常,需积极抗心律失常治疗。
Objective To investigate the clinical features, treatment and prognosis of 21 neonates with arrhythmia. Methods The clinical data and follow-up data of 21 neonates with arrhythmia were retrospectively analyzed. Results There were 14 males and 7 females in 21 cases. There were 16 cases of benign arrhythmias without any clinical symptoms, including 9 cases of atrial premature beats, 3 cases of ventricular premature beats, 4 cases of premature ventricular premature beats and atrial premature beats. 5 cases of benign arrhythmia, clinical manifestations or cardiogenic shock, including paroxysmal supraventricular tachycardia in 3 cases, 1 case of atrial fibrillation, atrial fibrillation with atrial flutter in 1 case; children with benign arrhythmia in the treatment of primary disease On the basis of anti-oxygen free radicals, nutritional myocardial therapy, the prognosis is good. Children with unhealthy arrhythmia disappeared after arrhythmia. Survival in 20 cases, 1 died. Conclusions Most newborn arrhythmias are benign arrhythmias, with no obvious clinical symptoms, mainly for the treatment of primary disease; a few are non-benign arrhythmias, which require active anti-arrhythmic treatment.