目的　探讨新生儿心律失常的发病因素、类型和转归。方法　对 3 2例新生儿心律失常临床资料进行回顾性分析 ,其中 2 2例作远期随访观察。结果　 3 2例新生儿心律失常中 ,原因不明者 16例 ,原发病以肺炎、宫内窘迫为多 ;发作类型以快速性心律失常居多 ,占 2 5例 ,房室传导阻滞 5例 ,窦性心动过缓 2例。随访发现 19例转归良好。结论　新生儿心律失常大多为一个良性过程 ,尽可能利用 2 4h动态心电图进行随访 Objective To investigate the incidence of neonatal arrhythmia factors, types and outcomes. Methods The clinical data of 32 neonates with arrhythmia were retrospectively analyzed, of which 22 were followed up for long-term follow-up. Results 32 cases of neonatal arrhythmia, 16 cases of unknown cause, the primary disease with pneumonia, intrauterine distress were more; type of seizure to tachyarrhythmia mostly, accounting for 25 cases, 5 cases of atrioventricular block, Sinus bradycardia in 2 cases. Follow-up found that 19 cases of good prognosis. Conclusion Most neonatal arrhythmia is a benign process, as long as possible by 24 h Holter monitoring