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頁籤選單縮合
題名 | Clinical Significance of Fetal Arrhythmia in the Neonate=胎兒暨新生兒心律不整的臨床意義 |
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作者 | 林子琦; 林瑞瑩; 趙安詳; 楊鵬弘; 周怡宏; | 書刊名 | Clinical Neonatology |
卷期 | 14:1 2007.06[民96.06] |
頁次 | 頁38-41 |
分類號 | 417.517 |
關鍵詞 | 胎兒; 新生兒; 心律不整; Fetal arrhythmia; Maternal disease; Fetal therapy; |
語文 | 英文(English) |
英文摘要 | Fetal arrhythmia is often encountered, although its clinical significance is not yet defined. We performed a retrospective analysis of 28 neonates whose arrhythmias occurred prenatally. These neonates were born between 1994 and 2003 in Chang Gung Memorial Hospital. Twelve cases of fetal arrhythmias persisted into neonatal life, the arrhythmias resolved in utero in 4 and resolved immediately after birth in 6. Two babies expired: one became hydropic and the other one had trisomy 18. Six of the arrhythmias were premature atrial contractions, which was the most common and benign arrhythmia. The etiologies of the fetal arrhythmias included maternal underlying disease, structural cardiac anomalies and idiopathic. Although spontaneous resolution can occur, especially during the birth process, fetal therapy with an antiarrhythmic regimen is needed to ensure the baby has an adequate cardiac output. |
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