CAJ | 학술논문

目的探讨脉冲多普勒结合心电图思维方法分类诊断胎儿心律失常的可行性.方法产前检查发现胎儿心律失常65胎,通过获取肺动、静脉的脉冲波多普勒血流频谱,运用心电图思维方法,分类诊断胎儿心律失常.结果诊断65胎心律失常,其中窦性心动过缓12胎,窦性心动过速8胎,室上性心动过速5胎,房性期前收缩28胎,室性期前收缩7胎,房室传导阻滞5胎.结论脉冲多普勒频谱结合心电图思维方法能快速、准确地分类诊断胎儿心律失常.
목적 탐토맥충다보륵결합심전도사유방법분류진단태인심률실상적가행성.방법 산전검사발현태인심률실상65태,통과획취폐동、정맥적맥충파다보륵혈류빈보,운용심전도사유방법,분류진단태인심률실상.결과 진단65태심률실상,기중두성심동과완12태,두성심동과속8태,실상성심동과속5태,방성기전수축28태,실성기전수축7태,방실전도조체5태.결론 맥충다보륵빈보결합심전도사유방법능쾌속、준학지분류진단태인심률실상.
Objective To investigate the feasibility of pulse Doppler combined with electrocardiographic thinking for diagnosis of fetal arrhythmia. Methods Sixty-five fetuses with arrhythmia were examined with prenatal ultrasound. Pulse Doppler spectrum of pulmonary arteries and pulmonary veins were ontained and anlyzed with electrocardiographic thinking, and different kinds of fetal arrhythmia were diagnosed and classified. Results Among the 65 fetuses, 12 were found with sinus bradycardia, 8 with sinus tachycardia, 5 with supraventricular tachycardia, 28 with atrial premature beat, 7 with premature ventricular and 5 with atrioventricular block. Conclusion Pulse Doppler combined with electrocardiographic thinking plays an important role in the diagnosis and classification of fetal arrhythmia.