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本文报告一例胎儿心动过速,宫内发生充血性心衰,给其母口服地高辛治疗获得成功。 (上接250页) 孕妇,31岁,第二胎第一产,妊娠期正常。妊娠6周时,孕妇感到胎动减少,产科检查发现胎儿心动过速。第二天超声波检查示胎儿心动过速;每分钟260次,并伴胎儿头皮水肿和腹水。母为rh阳性,血中未查到抗体。诊断为继发于心动过速引起的胎儿充血性心衰。给其母口服0.5mg地高辛,3小时和11小时后又分别以同样剂量重复一次,14小时内共服1.5mg。服第三剂后1小时,胎儿心率很快转到每分钟125～130次。孕妇当即感到胎儿活动增加。以后每天口服一次0.25mg地高辛,直至分娩。开始治疗时孕妇地高辛血浓度为0.7和0.8ng/ml,第五天超声波检查示胎儿仍有腹水但心率正常。治疗后第十九天胎儿头皮水肿和腹水消退。妊
This article reports a case of fetal tachycardia, intrauterine congestive heart failure, to its mother oral digoxin treatment was successful. (On the next 250) pregnant women, 31 years old, second child first birth, normal pregnancy. 6 weeks pregnant, pregnant women feel decreased fetal movement, obstetric examination found fetal tachycardia. The next day ultrasound showed fetal tachycardia; 260 beats per minute, with fetal scalp edema and ascites. The mother is rh positive, not found in the blood of antibodies. Diagnosed as secondary to tachycardia caused by fetal congestive heart failure. To their mother orally take 0.5mg digoxin, 3 hours and 11 hours later were repeated at the same dose, a total of 1.5mg within 14 hours. One hour after taking the third dose, the fetal heart rate quickly turned 125 to 130 times per minute. Pregnant women immediately feel increased fetal activity. After oral administration once a day 0.25mg digoxin until childbirth. Pregnant women began digoxin blood concentrations of 0.7 and 0.8ng / ml, the fifth day of ultrasound showed that the fetus is still ascites but normal heart rate. Nineteenth day after treatment fetal scalp edema and ascites. Pregnancy