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目的 研究新生儿心律失常的病因、发病机制、心律失常类型、临床表现及预后。 方法 对1986年1月～1998年12月入院并诊断为心律失常的20例新生儿进行临床分析和随访。结果 房性早搏7例,室性早搏7例,各占35％(7/20);室性心动过速2例,窦房结功能不良2例,各占10％(2/20);房扑1例,Ⅰ度房室传导阻滞1例,各占5％(1/20)。转归:心律失常消失16例,占80％(16/20);失访2例,死亡2例,各占10％(2/20)。结论 新生儿心律失常以房性早搏或窒性早搏最常见,常不需要治疗,预后良好。室性心动过速若原发病严重,则预后很差。
Objective To study the etiology, pathogenesis, type of arrhythmia, clinical manifestations and prognosis of neonatal arrhythmia. Methods Twenty newborns admitted to our hospital from January 1986 to December 1998 were retrospectively analyzed and followed up. Results 7 cases of atrial premature beats, 7 cases of premature ventricular contractions, each 35% (7/20); 2 cases of ventricular tachycardia, sinus node dysfunction in 2 cases, each 10% (2/20); 1 cases of flutter, Ⅰ degree atrioventricular block in 1 case, each 5% (1/20). Results: Arrhythmia disappeared in 16 cases, accounting for 80% (16/20); lost in 2 cases, 2 died, each accounting for 10% (2/20). Conclusion neonatal arrhythmia to atrial premature beats or beats premature beats the most common, often do not need treatment, the prognosis is good. If the primary onset of ventricular tachycardia, the prognosis is poor.