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[慢性胎儿缺氧的诊断]

[Diagnosis of chronic fetal anoxia].

作者信息

Timoshenko L V, Ianiuta S N, Dudka S V, Alamakha V I

出版信息

Vestn Akad Med Nauk SSSR. 1990(7):41-3.

PMID:2220050
Abstract

The intrauterine fetal status was assessed in women at 34-42 week gestation; the pregnancies were complicated by obstetric and extragenital disease (nephropathy, prolonged gestation, hypertension, diabetes mellitus, renal disease). Computer-assisted analysis of the diagnostic value of fetal cardiotocography, uterine-placental hemodynamics, and acid-base status of maternal capillary blood showed that the following parameters are most informative for the diagnosis of chronic fetal hypoxia: stable rhythm duration; oscillation amplitude; acceleration/deceleration number, amplitude, and duration; volume flow rate of the uterine-placental unit; and pH and base deficiency in the blood taken from the cervix uteri.

摘要

对妊娠34至42周的妇女进行了宫内胎儿状况评估;这些妊娠合并有产科和生殖器外疾病(肾病、过期妊娠、高血压、糖尿病、肾脏疾病)。通过计算机辅助分析胎儿心动图、子宫-胎盘血流动力学以及母体毛细血管血酸碱状态的诊断价值表明,以下参数对慢性胎儿缺氧的诊断最具信息量:稳定节律持续时间;振荡幅度;加速/减速次数、幅度和持续时间;子宫-胎盘单位的体积流速;以及取自子宫颈的血液中的pH值和碱缺乏情况。

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