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孕17周时由双侧III型先天性肺囊性腺瘤样畸形引起的非免疫性胎儿水肿。

Nonimmune fetal hydrops caused by bilateral type III congenital cystic adenomatoid malformation of the lung at 17 weeks' gestation.

作者信息

Sherer D M, Abramowicz J S, Metlay L A, Roberts M, Woods J R

机构信息

Department of Obstetrics and Gynecology, Strong Memorial Hospital, University of Rochester School of Medicine and Dentistry, NY 14642-8668.

出版信息

Am J Obstet Gynecol. 1992 Aug;167(2):503-5. doi: 10.1016/s0002-9378(11)91438-0.

DOI:10.1016/s0002-9378(11)91438-0
PMID:1497057
Abstract

Type III congenital cystic malformation of the lung with nonimmune hydrops and oligohydramnios was diagnosed at 17 weeks by ultrasonography. Massive fetal cardiac compression with probable associated left- and right-sided failure causing both the oligohydramnios and the ascites, respectively, was thought to be the underlying pathophysiologic mechanism of this unusual clinical presentation. Pathologic examination after termination of the pregnancy confirmed the prenatal diagnosis.

摘要

孕17周时通过超声检查诊断出III型先天性肺囊性畸形合并非免疫性水肿和羊水过少。巨大胎儿心脏受压,可能分别导致双侧心力衰竭,进而分别引起羊水过少和腹水,这被认为是这种不寻常临床表现的潜在病理生理机制。终止妊娠后的病理检查证实了产前诊断。

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