| 胎儿先心病产前咨询及出生后随访研究 |
| 投稿时间：2016-10-15 修订日期：2016-11-06 点此下载全文 |
| 引用本文：孟祥春,李博宁,刘琮,丁以群,刘麟,谢颖,高鲁燕.胎儿先心病产前咨询及出生后随访研究[J].医学研究杂志,2017,46(7):126-129 |
| DOI：
10.11969/j.issn.1673-548X.2017.07.031 |
| 摘要点击次数: 937 |
| 全文下载次数: 638 |
|
| 基金项目:广东省深圳市科技创新委员会基金资助项目（JCYJ20150403100317069） |
|
| 中文摘要:目的 通过分析胎儿心血管异常超声报告，建立孕妇妊娠档案，提出专业性的妊娠建议，并对选择继续妊娠的孕妇进行产后访追踪。方法 总结了196例胎儿心血管异常超声报告，分为简单型先心病和复杂型先心病。针对不同类型的先心病给予不同的妊娠建议。部分孕妇还建议做胎儿染色体检查。选择继续妊娠保留胎儿的病例进一步做出生后治疗建议和随访观察。结果 简单型先心病共计128例，复杂型先心病共计68例。简单型先心病一般预后良好，建议继续妊娠。复杂型先心病均需要手术矫治心血管畸形，对于出生后不能行双心室修补或合并有染色体畸形的胎儿应建议及时终止妊娠。结论 产前咨询可以降低严重先心病的出生率，并在先心病胎儿出生后给予早期的处理，对优生优育具有重要意义。 |
| 中文关键词:胎儿 超声心动图 先天性心脏病 产前咨询 |
| |
| Prenatal Consultation and Following-up Study in Fetal Heart Abnormalities |
|
|
| Abstract:Objective To establish profiles of pregnant women with abnormal heart fetuses, propose pregnant selection from a professional point of view,and follow-up the newborns after their birth. Methods One hundred and ninety six fetuses echocardiography with fetal heart abnormalities were studied and summarized.They were separated into two groups:the simple heart abnormalities(SHA) and the complex heart abnormalities(CHA).The different pregnant selections were proposed based on the fetuses heart abnormalities. The fetus chromosome were studied in some high risk pregnant women through amniotic fluid or umbilical cord blood.The further intervening proposal and following-up were made in the cases of continuous pregnancy to delivery. Results There were 128 fetuses with SHA,68 fetuses with CHA. Continuous pregnancy to delivery were proposed in the group of fetuses with SHA. All the fetuses with CHA would need cardiac surgical operations after their birth.So interruption of pregnancy should be proposed in the fetuses whose abnormal heart would not be repaired with two separated ventricles,or in the fetuses with abnormal chromosome. Conclusion Prenatal consultation can decrease the birthrates of complex heart defects,and offer early management after birth. It plays a crucial role in prepotency. |
| keywords:Fetus Echocardiography Congenital heart disease Prenatal consultation |
| 查看全文 查看/发表评论 下载PDF阅读器 |
