CAJ | 학술논문

目的：探讨超声诊断胎儿心律失常的价值。方法对年龄20～40岁、妊娠20～40周患有乙型肝炎孕妇、疑有心律失常的76例胎儿进行超声检查。依据检查结果作出诊断，并利用超声随访。结果30例胎儿心律失常中，10例心动过速，6例心动过缓，14例胎儿不规则心律，其中2例心脏结构重度异常放弃胎儿，其余胎儿均正常出生。结论胎儿心脏M型超声、脉冲多普勒检测心脏及脐动脉血流频谱等可以诊断胎儿心律失常。
목적：탐토초성진단태인심률실상적개치。방법대년령20～40세、임신20～40주환유을형간염잉부、의유심률실상적76례태인진행초성검사。의거검사결과작출진단，병이용초성수방。결과30례태인심률실상중，10례심동과속，6례심동과완，14례태인불규칙심률，기중2례심장결구중도이상방기태인，기여태인균정상출생。결론태인심장M형초성、맥충다보륵검측심장급제동맥혈류빈보등가이진단태인심률실상。
Objective To analyze the value of ultrasound in the diagnosis of fetal arrhythmias .Methods 76 cases of pregnant women with hepatitis B ,aged at 20~40 years old ,with 20~40 weeks of pregnancy ,were subjected to ultra-sound examination because their fetuses were suspected to be suffering from arrhythmia .Then ,a diagnosis was made on the basis of test results and a follow-up was conducted by use of ultrasound .Results In this work ,there were 30 cases of fetal arrhythmias ,10 cases of heartbeat tachycardia ,6 cases of slow heartbeat ,and 14 cases of fetal irregular rhythm .As 2 patients had severe structural abnormalities of the heart ,therefore ,the fetuses were given up .The remaining fetuses were normal birth .Conclusion Fetal heart ultrasonography (type M ) ,Pulse Doppler heart ,and umbilical blood flow can diagnose fetal arrhythmias .