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[母亲患有先天性和后天性心脏病的新生儿的特征]

[Characteristics of neonates whose mothers have congenital and acquired heart disease].

作者信息

Garnizov T, Ivanov S, Dukovski A, Slŭncheva B, Vakrilova L, Georgiev G

出版信息

Akush Ginekol (Sofiia). 2002;42(1):3-6.

PMID:11935697
Abstract

It was made a study of the body dimensions, Apgar evaluation, and frequency of innate body defects in 141 new-borns by mothers with innate and acquired heart valvular defects. It was found that the average values of body weight, height, and the evaluation with Apgar of the new-borns by mothers with heart defects do not deviate from the average values of the same indices of new-borns by healthy mothers. Despite that 90% of the young mothers with heart defects are with light to moderate degree of the heart defect, and with I or II functionality class, the percent of their new-borns born prematurely is big--31.9, compared to 6.6 for new-borns by healthy mothers. In 2.8% of the new-borns by mothers with heart defects, hypotrophy is observed, and in 3.5%--clinical criteria for immaturity. Perinatal death rate is 0.7% and zero for the control group of new-borns--ones born by healthy women. Six cases (6.7%) of new-borns by mothers with heart defects had innate body defects, 4 (4.5%) of which were innate heart defects. The frequency and the kind of the congenital defects in new-borns by mothers with heart defects is discussed.

摘要

对141名由患有先天性和后天性心脏瓣膜缺陷的母亲所生新生儿的身体尺寸、阿氏评分及先天性身体缺陷发生率进行了研究。结果发现,患有心脏缺陷的母亲所生新生儿的体重、身高平均值及阿氏评分与健康母亲所生新生儿相同指标的平均值并无差异。尽管90%患有心脏缺陷的年轻母亲心脏缺陷程度为轻度至中度,功能分级为I级或II级,但其新生儿早产的比例却很高——为31.9%,而健康母亲所生新生儿的早产比例为6.6%。患有心脏缺陷的母亲所生新生儿中,2.8%出现发育迟缓,3.5%有不成熟的临床标准。围产期死亡率为0.7%,而健康女性所生新生儿对照组的围产期死亡率为零。患有心脏缺陷的母亲所生新生儿中有6例(6.7%)有先天性身体缺陷,其中4例(4.5%)为先天性心脏缺陷。文中讨论了患有心脏缺陷的母亲所生新生儿先天性缺陷的发生率及类型。

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