Phelan J P, Park Y W, Ahn M O, Rutherford S E
Department of Obstetrics and Gynecology, University of Southern California, School of Medicine, Los Angeles.
J Perinatol. 1990 Dec;10(4):347-50.
Of 2081 high-risk pregnancy patients who underwent antepartum fetal surveillance tests, 72 (3.5%) patients demonstrated evidence of polyhydramnios using the amniotic fluid index to assess the amniotic fluid volume. In these patients, an increased incidence of fetal macrosomia, premature births, non-reactive nonstress tests, perinatal morbidity, and fetal anomalies was observed. These data suggest that if polyhydramnios is encountered during an ultrasound evaluation, consideration should be given to the possibility of latent or uncontrolled diabetes mellitus or fetal macrosomia or anomaly; fetal surveillance and genetic evaluation also should be considered.
在2081例接受产前胎儿监测检查的高危妊娠患者中，72例（3.5%）患者使用羊水指数评估羊水量时显示有羊水过多的证据。在这些患者中，观察到巨大胎儿、早产、无应激试验无反应、围产期发病率和胎儿畸形的发生率增加。这些数据表明，如果在超声评估中发现羊水过多，应考虑潜在或未控制的糖尿病、巨大胎儿或胎儿畸形的可能性；还应考虑进行胎儿监测和基因评估。
