Refractory Fetal Supraventricular Tachycardia with Hydrops: Report of One Case

胎兒心搏過速有時相當難以治療,尤其是當胎兒已產生充血性心臟衰竭。本文所報告的病例乃是在懷孕第27週進，發現胎兒有持續性心室上心搏過速且合并水腫。我們給予母親許多種抗心律不整藥物，包括digoxin單獨使用，或digoxin與quinidine, propranolol, verapamil三者之一并用，來當試治療，但都無效。胎兒在懷孕第35週進因母親提前陣痛而自然分娩，胎兒原來的心搏過速在出生後自然消失。然而在新生兒期，心搏過速又復發好幾次，每次只能藉著電擊或注射amiodarone才能控制下來。因此我們給予口服的amiodarone治療三個月，以預防其復發。經持續追蹤一年半無復發跡象，且其發育成長正常。

關鍵字

胎兒心室上心搏過速；胎兒水腫

並列摘要

Fetal tachycardia sometimes is quite difficult to treat, especially when the fetus has congestive heart failure. Sustained supraventricular tachycardia and hydrops had been diagnosed in a fetus as early as the 27th week of gestational age. A variety of antiarrhythmic agents, including digoxin, digoxin in combination with quinidine or propranolol or verapamil, have been prescribed .for the mother, always in a vain effort of conversion of the tachycardia. A baby was born via vaginal delivery at 35 weeks' gestation because of premature labor. The tachycardia disappeared immediately after birth, but several episodes of tachycardia occurred during the neonatal period, and were converted only by electric cardioversion or intravenous amiodarone. Oral amiodarone was then prescribed for three months to prevent recurrence. The baby has lived well without attacks during a one-and-a-half-year follow-up.

並列關鍵字

fetal supraventricular tachycardia ； hydrops fetalis

國際替代計量

Refractory Fetal Supraventricular Tachycardia with Hydrops: Report of One Case

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