中国实用妇科与产科杂志

中国实用妇科与产科杂志

• 专题笔谈 • 上一篇    下一篇

胎儿心律失常的产前诊断及管理

  

  1. 同济大学附属第一妇婴保健院 胎儿医学科&产前诊断中心，上海 201204
  • 出版日期:2019-04-02 发布日期:2019-03-28
  • 通讯作者: 孙路明

Fetal arrhythmia：prenatal diagnosis and management.

  1. Fetal Medicine Unit and Prenatal Diagnosis Center，Shanghai First Maternity and Infant Hospital，Tongji University，Shanghai 201204，China
  • Online:2019-04-02 Published:2019-03-28

摘要：

胎儿一过性心律失常的发生率相对更高。持续性的心律失常通常与胎儿水肿、早产、围产儿发病率及死亡率的增加相关。产前通过M型超声或胎儿超声心动图能够增加胎儿心律失常的诊断率。精准的产前诊断及宫内干预，有望改善心律失常胎儿的预后。

关键词: 心律失常, 胎儿, 超声心动图, 产前诊断, 宫内治疗

Abstract:

Transient fetal arrhythmia is more common than persistent fetal arrhythmia.Persistent fetal arrhythmia is correlated with fetal hydrops，preterm delivery，and higher perinatal morbidity and mortality.Prenatal assessment with M-mode and echocardiography can enhance diagnostic accuracy.Precise prenatal diagnosis and intrauterine interventions may improve the prognosis of arrhythmic fetuses.

Key words: arrhythmia, fetal, echocardiography, prenatal diagnosis, intrauterine therapy

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