切换至 "中华医学电子期刊资源库"

中华医学超声杂志(电子版) ›› 2024, Vol. 21 ›› Issue (04) : 441 -443. doi: 10.3877/cma.j.issn.1672-6448.2024.04.016

病例报告

孕妇感染新型冠状病毒后胎儿快速型心律失常三例
董江里1, 刘冬梅1, 于佳丽1, 林勤1, 刘可萱1, 彭梅2, 徐赣琼1,()   
  1. 1. 410011 长沙,中南大学湘雅二医院超声诊断科(湖南省医学影像临床医学研究中心)
    2. 410011 长沙,中南大学湘雅二医院妇产科
  • 收稿日期:2024-02-29 出版日期:2024-04-01
  • 通信作者: 徐赣琼
  • 基金资助:
    国家自然科学基金项目(81801721); 湖南省自然科学基金项目(2019JJ50880)

Fetal tachyarrhythmia after novel coronavirus infection in pregnant women: report of three cases

Jiangli Dong, Dongmei Liu, Jiali Yu   

  • Received:2024-02-29 Published:2024-04-01
引用本文:

董江里, 刘冬梅, 于佳丽, 林勤, 刘可萱, 彭梅, 徐赣琼. 孕妇感染新型冠状病毒后胎儿快速型心律失常三例[J]. 中华医学超声杂志(电子版), 2024, 21(04): 441-443.

Jiangli Dong, Dongmei Liu, Jiali Yu. Fetal tachyarrhythmia after novel coronavirus infection in pregnant women: report of three cases[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2024, 21(04): 441-443.

图1 病例1不同孕周的M型超声心动图。图a为孕23+5周,治疗前胎儿心房率500次/min,心室率250次/min,呈2:1房室传导;图b,c分别为地高辛250 μg,每日2次和250 μg每8 h一次口服治疗后,胎儿的心律失常未见改善;图d为胎儿通过脐静脉注射地高辛治疗后,心律恢复正常 注:A为心房;V为心室;LV为左心室;RA为右心房
图2 病例2胎儿快速型心律失常M型超声心动图。图示孕31+1周胎儿心房率为422次/min,心室率为211次/min,律齐,呈2∶1房室传导 注:A为心房;V为心室
图3 病例3胎儿快速型心律失常M型超声心动图。图示孕35+3周大部分心动周期心房率250~260次/min,心室率250~260次/min,呈1:1房室传导 注:A为心房;V为心室
1
Oudijk MA, Ruskamp JM, Ververs FFT, et al. Treatment of fetal tachycardia with sotalol: transplacental pharmacokinetics and pharmacodynamics[J]. J Am Coll Cardiol, 2003, 42(4): 765-770.
2
Gopinathannair R, Merchant FM, Lakkireddy DR, et al. COVID-19 and cardiac arrhythmias: a global perspective on arrhythmia characteristics and management strategies[J]. J Interv Card Electrophysiol, 2020, 59(2): 329-336.
3
Driggin E, Madhavan MV, Bikdeli B, et al. Cardiovascular considerations for patients, health care workers, and health systems during the COVID-19 pandemic[J]. J Am Coll Cardiol, 2020, 75(18): 2352-2371.
4
邓小博, 马欢欢, 俞荣, 等. 新冠病毒感染后细胞免疫研究进展 [J].中华医院感染学杂志, 2022, 32(10): 1590-1595.
5
Coromilas EJ, Kochav S, Goldenthal I, et al. Worldwide survey of COVID-19-associated arrhythmias[J]. Circ Arrhythm Electrophysiol, 2021, 14(3): e009458.
6
Salem D, Katranji F, Bakdash T. COVID-19 infection in pregnant women: Review of maternal and fetal outcomes[J]. Int J Gynaecol Obstet, 2021, 152(3): 291-298.
7
Valdespino-Vázquez MY, Helguera-Repetto CA, León-Juárez M, et al. Fetal and placental infection with SARS-CoV-2 in early pregnancy[J]. J Med Virol, 2021, 93(7): 4480-4487.
8
Patel D, Cuneo B, Viesca R, et al. Digoxin for the treatment of fetal congestive heart failure with sinus rhythm assessed by cardiovascular profile score[J]. J Matern Fetal Neona, 2008, 21(7): 477-482.
9
Warda RM. Pharmacology of the maternal-placental-fetal-unit and fetal therapy[J]. Prog Pediatr Cardiol, 1996, 5(2): 79-89.
No related articles found!
阅读次数
全文


摘要