在胎儿中脑动脉中持续的反向终端透析流:一种罕见的发现,结果不好
Dani Setiawan1, Johanes Cornelius Mose1, Nuniek Kharismawati1
1Maternal Fetal Medicine Division, Department of Obstetrics and Gynecology, Faculty of Medicine, Hasan Sadikin Central General Hospital, Padjadjaran University, Bandung 40161, Indonesia.
Medicina (Kaunas, Lithuania)
|September 28, 2023
概括
胎儿中脑动脉 (MCA) 中持续的反向终端透气流 (PREDF) 是胎儿状况不佳的罕见标志物. 这种多普勒发现可能表明严重的胎儿损害,可能导致子宫内或新生儿死亡.
科学领域:
- 胎儿医学 胎儿医学
- 诊断性超声波 超声波 超声波 超声波
- 血液动力学 血液动力学
背景情况:
- 胎儿中脑动脉 (MCA) 中持续的反向终端透气流 (PREDF) 是一个罕见的和有关超声波的发现.
- 这种血液动力学事件意味着胎儿大脑自我调节的严重损失,通常与严重的低氧化和潜在的血液流动的中央再分配有关.
研究的目的:
- 报告MCA中的PREDF病例,该病例发生在胎儿中,胎儿因严重的孕前和胎儿生长限制而复杂.
- 讨论PREDF在胎儿医学中的潜在病因和影响.
主要方法:
- 使用多普勒超声波来识别胎儿MCA中的PREDF.
- 审查了孕产妇和胎儿的临床数据,包括严重的孕前,胎儿生长限制和橄水.
主要成果:
- 该病例涉及一个怀孕30周的胎儿,在MCA中患有PREDF,与严重的孕前,胎儿生长限制和橄水有关.
- 由于子宫前的严重程度和不良的毕晓普评分,进行了剖腹产.
结论:
- 在MCA中,PREDF是胎儿状况不佳的标志物,可能与严重低氧化症导致的大脑有关.
- 需要进一步研究以了解各种病因,与子宫内/新生儿死亡的关联以及PREDF的最佳管理策略.
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