Rudigoz R C, Gaucherand P
Service de gynécologie-obstétrique, hôpital de la Croix-Rousse, Lyon, France.
Pediatrie. 1990;45(10):645-52.
Ultrasound diagnosis of a fetal visceral malformation raises many questions concerning both medical and ethical aspects. Are there associated malformations or chromosomal anomalies? Is the malformation compatible with life. What will be the quality of survival after birth? Is there efficient surgical treatment? Is it possible to maintain the pregnancy until term or must we consider a premature delivery or an interruption of pregnancy? The decisions are difficult and they necessitate co-operation between the different specialists involved with the antenatal and immediate postnatal care of the fetus. In this paper the authors analyse the various situations that may be encountered depending upon the type of digestive, pulmonary or urinary tract fetal abnormality (cardiac or cerebral malformations have been excluded).
胎儿内脏畸形的超声诊断引发了许多有关医学和伦理方面的问题。是否存在相关畸形或染色体异常？该畸形是否与生命相容？出生后的生存质量将会如何？是否有有效的手术治疗方法？是否有可能维持妊娠至足月，还是必须考虑早产或终止妊娠？这些决定很困难，需要参与胎儿产前和产后即刻护理的不同专家之间进行合作。在本文中，作者分析了根据胎儿消化、呼吸或泌尿系统异常类型（已排除心脏或脑部畸形）可能遇到的各种情况。
