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宫内死亡病例中胎儿心脏功能监测的错误解读

False interpretation of fetal heart role monitoring in cases of intra-uterine death.

作者信息

Odendaal H J

出版信息

S Afr Med J. 1976 Nov 17;50(49):1963-5.

PMID:1013848
Abstract

Spiral scalp electrodes were applied in 30 cases of diagnosed intra-uterine death during labour to establish different patterns caused by maternal fetal conduction of the ECG. In 10 cases the signal was of high quality and in 20 cases the signal was of low quality, but nevertheless spurious fetal heart rate recordings were produced. The maternal heart rate is interpreted as apparent "fetal bradycardia" in all cases but 1. Maternal heart rate accelerations, most of them occurring during uterine contractions, were demonstrated in 12 cases and decelerations in 3 cases. Changes in beat-to-beat variation were, however, rare.

摘要

对30例分娩期间确诊为宫内死亡的病例应用螺旋头皮电极,以确定由母体 - 胎儿心电图传导引起的不同模式。10例信号质量高,20例信号质量低,但仍产生了假性胎儿心率记录。除1例病例外,所有病例中的母体心率均被解释为明显的“胎儿心动过缓”。12例显示母体心率加速,其中大多数发生在子宫收缩期间,3例显示减速。然而,逐搏变化的改变很少见。

相似文献

1
False interpretation of fetal heart role monitoring in cases of intra-uterine death.宫内死亡病例中胎儿心脏功能监测的错误解读
S Afr Med J. 1976 Nov 17;50(49):1963-5.
2
Fetal heart rate patterns preceding death in utero.
Obstet Gynecol. 1976 Nov;48(5):521-7.
3
Analysis of heart rate patterns preceding fetal death.胎儿死亡前心率模式分析。
Obstet Gynecol. 1977 Nov;50(5):578-82.
4
Misleading information from fetal monitoring in a case of intrapartum fetal death.一例产时胎儿死亡病例中胎儿监护的误导性信息。
Obstet Gynecol. 1974 May;43(5):713-7.
5
[Cardiotocographic monitoring in pregnancy: some cases of sporadic decelerations (author's transl)].孕期胎心监护:一些散发性减速病例(作者译)
Ateneo Parmense Acta Biomed. 1978;49(3):281-7.
6
[Interpretation of the fetal heart rate in pregnancy and labor].[孕期及分娩期胎儿心率解读]
Gynakologe. 1984 Dec;17(4):255-64.
7
[Intra-uterine death during monitoring of the fetal heart rate].[胎儿心率监测期间的宫内死亡]
S Afr Med J. 1980 Jan 5;57(1):10-14.
8
Antepartum non-stress cardiotocography in 'high risk' pregnancies.“高危”妊娠的产前无应激胎心监护
Br J Obstet Gynaecol. 1983 Aug;90(8):697-704. doi: 10.1111/j.1471-0528.1983.tb09297.x.
9
Correlation of fetal heart rate-uterine contraction patterns with fetal scalp blood pH.
Obstet Gynecol. 1975 Oct;46(4):392-6.
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FHR tracing characteristics that jeopardize the diagnosis of fetal well-being.危及胎儿健康状况诊断的胎心率监测特征。
Clin Obstet Gynecol. 1986 Mar;29(1):12-22. doi: 10.1097/00003081-198603000-00005.

引用本文的文献

1
Use of Deep Learning to Detect the Maternal Heart Rate and False Signals on Fetal Heart Rate Recordings.利用深度学习检测胎儿心率记录中的母体心率和伪信号。
Biosensors (Basel). 2022 Aug 27;12(9):691. doi: 10.3390/bios12090691.
2
Unrecognized maternal heart rate artefact in cases of perinatal mortality reported to the United States Food and Drug Administration from 2009 to 2019: a critical patient safety issue.2009 年至 2019 年期间,美国食品和药物管理局报告的围产期死亡病例中出现的未识别的母体心率伪影:一个关键的患者安全问题。
BMC Pregnancy Childbirth. 2019 Dec 16;19(1):501. doi: 10.1186/s12884-019-2660-5.
3
Effects of low maternal heart rate on fetal growth and birthweight.
母亲心率低对胎儿生长和出生体重的影响。
Int J Gynaecol Obstet. 2019 Aug;146(2):250-256. doi: 10.1002/ijgo.12873.
4
Maternal heart rate patterns under resting conditions in late pregnancy.妊娠晚期静息状态下的母体心率模式。
Trends Res. 2018 Sep;1(3). doi: 10.15761/TR.1000116. Epub 2018 Sep 12.
5
Improvements in fetal heart rate analysis by the removal of maternal-fetal heart rate ambiguities.通过消除母胎心率模糊性来改善胎儿心率分析。
BMC Pregnancy Childbirth. 2015 Nov 19;15:301. doi: 10.1186/s12884-015-0739-1.