摘要
本文报道1例新生儿三尖瓣下移畸形合并B型预激综合征。患儿胎龄39周娩出,生后2 d诊断三尖瓣下移畸形合并B型心室预激,经内科治疗后好转出院。追溯产前超声检查,胎龄20周胎儿超声心动图未提示异常,但38周因胎心率过快行M型超声检查诊断室上性心动过速。三尖瓣下移畸形的心脏解剖结构异常不仅导致血流动力学的改变,而且会引起快速性心律失常。因此对于产前心脏超声检查到室上性心动过速或者出生后心电图检查到B型预激综合征的患儿,应当在心脏超声检查中仔细扫查三尖瓣,以免漏诊。
This paper reported a male newborn with Ebstein's anomaly complicated by type B Wolff-Parkinson-White syndrome.The baby was delivered at 39 weeks of gestation and diagnosed as Ebstein's anomaly complicated by type B Wolff-Parkinson-White syndrome 2 d after birth.He was improved and discharged after conservative management in the Department of Internal Medicine.No abnormality was found by fetal echocardiography at 20 weeks of gestation,while supraventricular tachycardia was diagnosed by M-mode ultrasonography at 38 weeks of gestation due to rapid fetal heart rate.In addition to hemodynamic changes,the abnormal cardiac structure in patients with Ebstein's anomaly may also lead to tachyarrhythmia.Therefore,in fetuses diagnosed with supraventricular tachycardia by prenatal ultrasound or children with type B Wolff-Parkinson-White syndrome detected by electrocardiogram after birth,tricuspid valve should be carefully scanned under echocardiography to avoid the missed diagnosis of Ebstein's anomaly.
作者
郑巧
张焜
董虹美
冉素真
Zheng Qiao;Zhang Kun;Dong Hongmei;Ran Suzhen(Department of Ultrasound,Chongqing Health Center for Women and Children(Women and Children's Hospital of Chongqing Medical University),Chongqing 401147,China)
出处
《中华围产医学杂志》
CAS
CSCD
北大核心
2022年第12期962-964,共3页
Chinese Journal of Perinatal Medicine
基金
重庆市卫生适宜技术推广项目(2021jstg041)
重庆市妇幼保健院院级科研课题(2020YJQN10)。
