Rane H S, Purandare H
Birth Defect Centre, Elco Arcade, Bombay.
Indian Pediatr. 1990 Jul;27(7):729-35.
Fifty four fetal echocardiography studies were done in 50 fetuses of ultrasonographically normal and healthy mothers between 16 and 36 weeks of pregnancy. In all cases there was no family history of any congenital heart defects. The purpose was to define normal fetal cardiac anatomy and detect any congenital heart defects. Two dimensional echocardiographic examination was done in long axis, apical four chamber, short axis and subcostal views. M-Mode examination of aorta, left atrium and ventricles was carried out. In majority of cases echos were satisfactory; however, the quality was poor in maternal obesity and oligohydramnios. The technique of cardiac examination differs from that in postnatal life. Two abnormalities were detected in this study, namely, ventricular septal defect (VSD) and paroxysmal atrial tachycardia (PAT). The VSD patient continued the pregnancy and at birth the diagnosis was confirmed, The mother with fetal PAT was put on oral digitalis. She delivered a normal baby with a normal heart rate.
对50名超声检查显示正常且健康的母亲所怀的54例胎儿进行了胎儿超声心动图研究，这些母亲处于妊娠16至36周。所有病例均无任何先天性心脏病家族史。目的是明确正常胎儿心脏解剖结构并检测任何先天性心脏病。采用长轴、心尖四腔、短轴和肋下视图进行二维超声心动图检查。对主动脉、左心房和心室进行了M型检查。大多数情况下回声良好；然而，在孕妇肥胖和羊水过少的情况下图像质量较差。心脏检查技术与出生后不同。本研究中检测到两例异常，即室间隔缺损（VSD）和阵发性房性心动过速（PAT）。室间隔缺损患者继续妊娠，出生时诊断得到证实，患有胎儿阵发性房性心动过速的母亲服用了口服洋地黄。她分娩了一个心率正常的健康婴儿。
