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[以多普勒检查作为剖宫产指征。病例报告]

[Doppler examination as an indication for surgical delivery. A case report].

作者信息

Schaffer H, Staudach A, Lassmann R, Steiner H

机构信息

Landesfrauenklinik LKA Salzburg.

出版信息

Geburtshilfe Frauenheilkd. 1990 May;50(5):403-4. doi: 10.1055/s-2008-1026270.

DOI:10.1055/s-2008-1026270
PMID:2197168
Abstract

Pathological alterations in foetoplacental circulation can lead to zero flow or even to reverse flow in the diastole. In these cases, a high fetal risk can be expected. Based on our Doppler measurements, we recommend by zero flow in the umbilical artery or foetal aorta, that the childbirth could be postponed under an observant attitude using intensive controls (CTG, foetal movements), but pregnancy has to be terminated immediately by Caesarean section at the first sign of reverse flow.

摘要

胎儿-胎盘循环的病理改变可导致舒张期血流为零甚至出现逆流。在这些情况下,胎儿面临的风险很高。根据我们的多普勒测量结果,对于脐动脉或胎儿主动脉出现血流为零的情况,我们建议在密切观察(胎心监护、胎动)下推迟分娩,并进行强化监测,但一旦出现逆流迹象,必须立即通过剖宫产终止妊娠。

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