Kretova N E, Arileshere A I, Volobuev A I, Azlina N V
Akush Ginekol (Mosk). 1990 Mar(3):22-6.
The feto-placental unit has been evaluated in 102 patients with acquired heart disease presenting as different circulatory states (Grade 0 insufficiency in 43, Grade I in 34 and Grade II A-B in 25 women). Placental scintigraphy was performed in 102, cardiotocography in 77, ultrasonographic fetal and placental biometry in 102 and placental pathological examination in 15 women. The neonatal study included 104 infants, with 2 twin pairs. Scintigraphy revealed utero-placental blood flow (UPBF) impairment in 72 (70.6%) pregnancies; cardiotocography showed chronic fetal hypoxia in 51 (66.1%) and ultrasonography showed intrauterine growth retardation in 44 (43.1%) pregnancies. Disorders of UPBF coexisted with chronic fetal hypoxia and intrauterine growth retardation in 33 (42.8%) pregnancies, with chronic fetal hypoxia in 18 (23.4%) pregnancies. Impairment of UPBF alone was seen in 13 (16.9%) pregnancies. The digoxin test was done concomitantly with placental scintigraphy in 28 patients; it improved diagnostic precision and provided a measure of compensation of impaired UPBF.
对102例患有后天性心脏病且呈现不同循环状态的患者（43例为0级功能不全，34例为I级，25例为II A - B级）的胎儿 - 胎盘单位进行了评估。102例患者进行了胎盘闪烁扫描，77例进行了胎心监护，102例进行了超声胎儿及胎盘生物测量，15例进行了胎盘病理检查。新生儿研究包括104名婴儿，其中有2对双胞胎。闪烁扫描显示72例（70.6%）妊娠存在子宫 - 胎盘血流（UPBF）受损；胎心监护显示51例（66.1%）存在慢性胎儿缺氧，超声检查显示44例（43.1%）妊娠存在宫内生长受限。33例（42.8%）妊娠中，UPBF紊乱与慢性胎儿缺氧和宫内生长受限并存，18例（23.4%）妊娠仅存在慢性胎儿缺氧。仅13例（16.9%）妊娠出现UPBF受损。28例患者在进行胎盘闪烁扫描时同时进行了地高辛试验；该试验提高了诊断准确性，并提供了一种衡量受损UPBF代偿情况的方法。
