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目的探讨新生儿心律失常的特点及治疗措施和预后。方法对48例新生儿心律失常的资料进行总结分析。结果48例新生儿心律失常中感染性疾病20例(41.7%),围产期缺氧12例(25%),原因不明7例(14.6%);心律失常类型:早搏27例,各类快速性心律失常10例,传导异常6例,窦性心动过缓5例。结论新生儿心律失常病因以缺氧及感染为主,类型多为房早、室早、各种传导阻滞和快速性心动过速。快速性心律失常常表现为气促、烦躁、面色苍白、紫绀等非特异性症状。新生儿心律失常大多无须特殊治疗,预后主要取决于自身疾病的严重性和心律失常的程度。
Objective To investigate neonatal arrhythmia characteristics and treatment measures and prognosis. Methods 48 cases of neonatal arrhythmia data summary analysis. Results 48 cases of neonatal arrhythmia infection in 20 cases (41.7%), perinatal hypoxia in 12 cases (25%), unexplained 7 cases (14.6%); arrhythmia type: premature beats in 27 cases, all kinds of rapid 10 cases of arrhythmia, conduction abnormalities in 6 cases, 5 cases of sinus bradycardia. Conclusions The causes of neonatal arrhythmia are mainly hypoxia and infection, and the types are as early as room and morning and as early as room, all kinds of conduction block and tachycardia. Tachyarrhythmia often manifested as shortness of breath, irritability, pale, cyanosis and other non-specific symptoms. Neonatal arrhythmias do not require special treatment, the prognosis depends mainly on the severity of their own disease and the degree of arrhythmia.