Fehervary P, Knitza R
Department of Obstetrics and Gynecology, University Hospital Mannheim, Germany.
J Perinat Med. 1998;26(5):404-7.
We report on a rare case of pulmonary embolism which we observed in the second stage of labor. For fetal surveillance we used oxycardiotocography (OCTG), an experimental system which combines internal CTG and pulse oximetry which enabled us to observe hemodynamic reactions of the unborn child and the effect on maternal-fetal gas exchange. It was possible to record marked fetal bradycardia simultaneously with decrease in oxygen saturation in the fetal arterial system during the acute event.
我们报告了一例在分娩第二阶段观察到的罕见肺栓塞病例。为进行胎儿监测,我们使用了氧心图(OCTG),这是一种将内部CTG和脉搏血氧饱和度测定相结合的实验系统,它使我们能够观察未出生胎儿的血流动力学反应以及对母婴气体交换的影响。在急性事件期间,可以记录到明显的胎儿心动过缓,同时胎儿动脉系统中的氧饱和度下降。