心脏适应和优选流在胎儿多个带
Julia Murlewska1, Sławomir Witkowski1, Łucja Biały1
1Department of Prenatal Cardiology, Polish Mother's Memorial Hospital Research Institute, 93-338 Lodz, Poland.
Diagnostics (Basel, Switzerland)
|January 11, 2024
概括
带绕着一个胎儿绕着一个胎儿.
科学领域:
- 胎儿医学 胎儿医学
- 心脏病学 心脏病学
- 产科 产科 产科 产科 产科
背景情况:
- 带可以影响胎儿的健康.
- 心脏重塑和改变血流的潜力存在.
研究的目的:
- 评估带卷曲是否会影响胎儿肺动脉和大动脉的大小.
- 为了确定带是否导致胎儿心脏膨胀.
主要方法:
- 854个胎儿 (27-40.2周妊娠期) 的心声监测.
- 组A:没有状绳 (n=716).
- B组:一个带 (n=102).
- 组C:两个部绳 (n=32).
- 肺动脉/大动脉 (Pa/Ao) 指数是从三个血管视角计算的.
主要成果:
- 胎儿有一个或两个带显示显著更宽的肺动脉.
- 大动脉宽度保持不变,导致卷曲组的Pa/Ao指数更高.
- 胚胎液的增加 (多液体胚胎) 观察到胎儿与带.
- 带有两个卷轴的胎儿表现出更大的心脏尺寸 (CTAR).
结论:
- 带卷曲可以导致胎儿心脏膨胀和不成比例.
- 带可能会导致血液流量重新分配和多水.
- 心声回声仪对于监测胎儿用带进行监测至关重要.
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