产后胎儿心率模式的进化与七个带环相关:一个案例报告
Masanori Sugimoto1, Masahiro Nakao2, Masafumi Nii2
1Department of Obstetrics and Gynecology, Kuwana City Medical Center, Kuwana, Mie, Japan.
Case reports in obstetrics and gynecology
|October 29, 2025
概括
多个带很少见,但可能会导致胎儿在分娩期间遭受痛苦. 这一案例突出了活体阴道分娩,其中有七根带和分娩期间独特的胎儿心率模式.
科学领域:
- 产科和妇科 产科和妇科
- 围产儿医学 围产儿医学
- 胎儿监测 胎儿监测 胎儿监测
背景情况:
- 多个带,虽然不常见,但与潜在的不良周产期结果有关.
- 有争议存在关于产前检测和围产期管理的多个带环.
- 本案例报告侧重于一种罕见的七重尾绳的例子.
研究的目的:
- 报告一个活体阴道分娩的病例,有多个带 (七倍).
- 为了描述胎儿心率的演变,在劳动过程中,在存在极端的带纠.
- 讨论对产前检测和产周管理的影响.
主要方法:
- 一个31岁的原孕妇的病例介绍,通过超声波检测出多个状绳.
- 在分娩期间监测胎儿心率模式,注意到可变减速和基线心率升高.
- 对带长度和环数的分析,以及新生儿Apgar分数和动脉气体分析.
主要成果:
- 一个活生生的阴道分娩发生了七重的带.
- 胎儿心率追踪显示,非典型的非复发性减速在分娩期间进展到复发性,严重的减速.
- 新生儿的Apgar分数为8/9和动脉气体值表明轻度代谢酸性.
结论:
- 产前检测带异常对于识别潜在的胎儿损害至关重要.
- 及时识别与带病理相关的胎儿心率变化,有助于及时干预.
- 这一案例强调了在怀孕时对胎儿进行警监测的重要性,因为怀孕时有尾带异常.
相关概念视频
Fetal Circulation
2.5K
Fetal circulation is a unique system that facilitates the exchange of gases, nutrients, and waste products between the developing fetus and the mother. This intricate process takes place through a special organ called the placenta.
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
2.5K
Pulse rhythm
1.3K
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
1.3K
Cardiovascular System Abnormal Findings II: Auscultation
550
Auscultation, an essential part of a heart examination, is done using a stethoscope. It provides crucial information about heart function and possible heart problems. Due to heart problems, abnormal sounds can be heard during systole or diastole. These sounds include S3 and S4 gallops, opening snaps, systolic clicks, and murmurs.
Abnormal Heart Sounds
Gallops:
Abnormal Heart Sounds
Gallops:
550
Assessment of apical radial pulse
1.2K
Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
1.2K
Assessment of apical pulse
1.9K
Assessing the Apical Pulse
Assessing the apical pulse is a critical nursing procedure, particularly indicated for:
Assessing the apical pulse is a critical nursing procedure, particularly indicated for:
1.9K


