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抢救合并宫内生长受限的宫内死胎:一次“复活”。

Rescue of an intrauterine dead fetus with IUGR: a resurrection.

作者信息

Haydardedeoglu Bulent, Parlakgumus Huriye Ayse, Iskender Cantekin, Bildaci Berk

机构信息

Department of Obstetrics and Gynecology, Baskent University, Adana, Turkey.

出版信息

BMJ Case Rep. 2011 Feb 2;2011:bcr1020103440. doi: 10.1136/bcr.10.2010.3440.

Abstract

Intrauterine growth restriction is associated with increased perinatal morbidity and mortality, as well as certain metabolic diseases such as coronary heart disease, stroke, diabetes and hypertension in adult life. In this report, the authors describe a case of successful neonatal resuscitation after caesarean delivery in a severe growth-restricted fetus with absent cardiac activity following prolonged intrauterine bradycardia. The neonatal outcome was favourable, with the infant showing only unilateral hearing loss at 13 months' follow-up.

摘要

胎儿生长受限与围产期发病率和死亡率增加以及某些代谢性疾病相关,如成年期的冠心病、中风、糖尿病和高血压。在本报告中,作者描述了一例严重生长受限胎儿在宫内心动过缓持续较长时间后心脏活动消失,剖宫产术后成功进行新生儿复苏的病例。新生儿结局良好,在13个月的随访中婴儿仅表现为单侧听力丧失。

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本文引用的文献

1
Obstetric aspects of hypoxic ischemic encephalopathy.缺氧缺血性脑病的产科方面。
Early Hum Dev. 2010 Jun;86(6):339-44. doi: 10.1016/j.earlhumdev.2010.05.009.
2
Hypoxic regulation of the fetal cerebral circulation.胎儿脑循环的缺氧调节
J Appl Physiol (1985). 2006 Feb;100(2):731-8. doi: 10.1152/japplphysiol.00990.2005.
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Metabolic acidosis and fetal reserve.代谢性酸中毒与胎儿储备
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