瓦萨·普雷维亚 (Vasa Previa) 是一个古老的语言
Yinka Oyelese1, Ali Javinani, Alireza A Shamshirsaz
1Department of Obstetrics & Gynecology, Beth Israel Deaconess Medical Center/Harvard Medical School and Maternal Fetal Care Center at Boston Children's Hospital/Harvard Medical School, Boston, Massachusetts.
Obstetrics and gynecology
|August 17, 2023
概括
通过超声波检查产前诊断 (未受保护的胎儿血管) 显著改善了围产期的结果. 早期检测和计划剖腹产对于预防胎儿脱血和提高生存率至关重要.
科学领域:
- 围产儿医学 围产儿医学
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 产科 产科 产科 产科 产科
背景情况:
- 胎盘前,以子宫附近的未受保护的胎儿血管为特征,历史上导致由于胎儿在膜破裂时流血而导致高产周死亡率.
- 超声波技术的进步使得产前诊断成为可能,改变了管理和结果.
研究的目的:
- 审查流行病学,病理生理学,自然史,诊断和治疗前列腺炎.
- 突出产前诊断对围产期结果的影响.
- 讨论目前和创新的治疗策略,以vasa previa.
主要方法:
- 现有文献的审查,包括队列研究和专家意见,由于vasa previa的稀有性.
- 分析与前列腺炎相关的风险因素.
- 检查诊断方式和管理协议.
主要成果:
- 产前诊断允许计划剖腹产,大大降低了产前死亡率.
- 在分娩期间未被诊断的血管前膜和膜破裂仍然与悲惨的结果有关.
- 确定的危险因素包括胎盘前,带插入和多胎妊娠.
结论:
- 基于超声波的产前查对于有风险的怀孕是必不可少的,以减少与vasa previa相关的死亡率.
- 管理策略依赖于观察数据和专家的共识.
- 及时诊断和干预对于改善胎儿存活率至关重要.
相关概念视频
Venules
924
Venules are an integral part of the microscopic circulatory system that bridges the gap between capillaries and veins.
Venules are much smaller in diameter compared to their larger counterparts, the veins. They are generally 8 to 100 micrometers in diameter, significantly smaller than the size of veins. The walls of venules are thin, consisting of the endothelium, a thin layer of connective tissue, and occasionally a few smooth muscle cells. This structural simplicity is a stark contrast...
Venules are much smaller in diameter compared to their larger counterparts, the veins. They are generally 8 to 100 micrometers in diameter, significantly smaller than the size of veins. The walls of venules are thin, consisting of the endothelium, a thin layer of connective tissue, and occasionally a few smooth muscle cells. This structural simplicity is a stark contrast...
924
Overview of Systemic Veins
513
Systemic veins are crucial blood vessels that return deoxygenated blood from various body tissues back to the heart. There are three systemic veins that return deoxygenated blood to the heart, they are as follows.
The coronary sinus, the heart's principal vein, resides in the coronary sulcus on the heart's posterior aspect. This broad venous channel receives nearly all venous blood from the myocardium, the heart muscle. It is fed by three primary veins: the great cardiac vein, the...
The coronary sinus, the heart's principal vein, resides in the coronary sulcus on the heart's posterior aspect. This broad venous channel receives nearly all venous blood from the myocardium, the heart muscle. It is fed by three primary veins: the great cardiac vein, the...
513
Veins of the Abdomen and Pelvis
701
The human body is a complex system of interconnected parts, and the circulatory system plays a crucial role in maintaining overall health. One key component of this system is the inferior vena cava, a large vein responsible for returning blood from the abdominopelvic viscera and abdominal walls to the heart.
The inferior vena cava is fed by numerous smaller veins. The lumbar veins, for instance, drain the posterior abdominal wall, emptying both directly into the inferior vena cava and into the...
The inferior vena cava is fed by numerous smaller veins. The lumbar veins, for instance, drain the posterior abdominal wall, emptying both directly into the inferior vena cava and into the...
701
Overview of Systemic Arteries
844
The human body is a complex, well-organized machine, and at the heart of its operations lies the circulatory system. This network of blood vessels, which includes systemic arteries, plays a vital role in maintaining life by transporting nutrients, oxygen, and waste products to and from cells throughout the body.
Systemic circulation is the part of the cardiovascular system that carries oxygenated blood away from the heart to the body's tissues and returns deoxygenated blood back to the...
Systemic circulation is the part of the cardiovascular system that carries oxygenated blood away from the heart to the body's tissues and returns deoxygenated blood back to the...
844
Vascular Spasm
1.5K
The vascular phase, also known as vasospasm, is the initial stage of hemostasis, crucial for preventing excessive bleeding when a blood vessel is injured. After a vessel is cut, nerves in the damaged area trigger pain and other sensory impulses. Simultaneously, the smooth muscles in the vessel wall contract, resulting in a vascular spasm. This contraction reduces the vessel's diameter at the injury site, slowing or stopping blood loss through the vessel wall. Vascular spasms typically last...
1.5K
Overview of the Vascular System
2.8K
The vascular system comprises an extensive network of arteries, capillaries, and veins. The vascular system can be broadly divided into the blood and lymphatic systems. Typically, blood vessels can be categorized into three histological regions: tunica intima, tunica media, and tunica adventitia. The tunica intima consists of a single layer of endothelial cells attached to the basal lamina. Underlying the basal lamina is a connective tissue layer and an elastic lamina that gives stability and...
2.8K


