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宫内生长受限:一种有医学解决方案的病理学病症

[Intrauterine growth restriction: a pathology for which there is a medical solution].

作者信息

Cernea N, Tudorache Stefania, Novac Liliana, Corniţescu Fl, Coletă E, Cernea Daniela

机构信息

Universitatea de Medicină şi Farmacie Craiova, Facultatea de Medicină, Catedra de Obstetrică şi Ginecologie.

出版信息

Rev Med Chir Soc Med Nat Iasi. 2007 Jul-Sep;111(3):683-90.

PMID:18293701
Abstract

The diagnosis of fetal well being is an acquisition of the last decades. Today, using ultrasound, the mothers' abdominal wall has become "transparent", allowing a real study of the fetus: evaluation of fetal weight, heart and muscle activity and fetal adnexae. The ultrasound study can be considered an examination of the fetus as an intrauterine patient, not of the mother and the purpose of modern obstetrics is to ensure the well-being of both of them. Flow velocity study with Doppler ultrasound has the purpose to evaluate the feto-placental, utero-placental and fetal blood flow and sometimes blood flow redistribution. The authors present the case of a 25 year old patient to whom the decision of C-section was based on clinical and sonographic elements. Ending the pregnancy before term allowed the saving of a baby condemned to death "in utero", in the absence of these new acquisitions in obstetrics ultrasound.

摘要

胎儿健康状况的诊断是过去几十年才出现的。如今,借助超声检查,母亲的腹壁变得“透明”,从而能够对胎儿进行实际研究:评估胎儿体重、心脏和肌肉活动以及胎儿附属物。超声检查可被视为对作为宫内患者的胎儿的检查,而非对母亲的检查,现代产科的目的是确保母婴双方的健康。使用多普勒超声进行血流速度研究的目的是评估胎儿 - 胎盘、子宫 - 胎盘和胎儿的血流情况,有时还包括血流再分布。作者介绍了一例25岁患者的病例,剖宫产的决定基于临床和超声检查结果。在产科超声没有这些新进展的情况下,提前终止妊娠拯救了一名“宫内”被判死刑的婴儿。

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1
[Intrauterine growth restriction: a pathology for which there is a medical solution].宫内生长受限:一种有医学解决方案的病理学病症
Rev Med Chir Soc Med Nat Iasi. 2007 Jul-Sep;111(3):683-90.
2
[Diagnostic and clinical value of Doppler ultrasound in obstetrics].
Geburtshilfe Frauenheilkd. 1995 Nov;55(11):605-15. doi: 10.1055/s-2007-1023534.
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Z Geburtshilfe Perinatol. 1994 Mar-Apr;198(2):56-61.
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