人类胎儿的心脏输出和血液流动的中央分布
1Department of Obstetrics and Gynecology, University of Tuebingen, Tuebingen, Germany. grmielke@med.uni-tuebingen.de
Circulation
|March 29, 2001
概括
这项研究建立了胎儿心脏输出参考范围,并揭示了从怀孕13周到孕期血液流动分布中的右心脏显著主导地位.
科学领域:
- 胎儿生理学 胎儿生理学
- 心血管超声波是什么意思
- 儿童心脏病学 儿童心脏病学
背景情况:
- 确定胎儿心脏输出的参考范围对于了解正常心血管发育至关重要.
- 研究胎儿血流分布对于诊断先天性心脏病至关重要.
研究的目的:
- 为了确定人类胎儿左心和右心输出的参考范围.
- 为了研究胎儿通过卵孔,动脉管和肺床的血流分布.
主要方法:
- 一项前性研究,涉及222名正常胎儿 (妊娠13-41周).
- 高分辨率彩色多普勒超声波用于测量.
- 用血管直径和时间-速度积分计算心脏输出和导管流量.
主要成果:
- 为心脏输出和导管血流建立了妊娠年龄特定的参考范围.
- 右心输出 (59%) 主导着左心输出 (41%).
- 导管血液流量 (46%),肺流量 (11%),门卵巢流量 (33%) 相对于双心室输出量化.
结论:
- 该研究提供了胎儿心脏输出和中央血流分布的基本参考范围.
- 在胎儿循环中明显的右心主导是显而易见的.
- 估计的肺血流与心脏输出比率高于胎儿羔羊研究报告的水平.
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