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超声参数未能预测恒河猴血型不合溶血病中胎儿贫血的严重程度。

Failure of ultrasonographic parameters to predict the severity of fetal anemia in rhesus isoimmunization.

作者信息

Nicolaides K H, Fontanarosa M, Gabbe S G, Rodeck C H

机构信息

Harris-Birthright Research Centre for Fetal Medicine, Department of Obstetrics and Gynaecology, Kings' College School of Medicine and Dentistry, London, England.

出版信息

Am J Obstet Gynecol. 1988 Apr;158(4):920-6. doi: 10.1016/0002-9378(88)90095-6.

DOI:10.1016/0002-9378(88)90095-6
PMID:2452569
Abstract

Ultrasonographic measurements of placental thickness, extrahepatic and intrahepatic umbilical vein diameters, abdominal circumference, head circumference, head/abdominal circumference ratio, and intraperitoneal volume were made in 50 rhesus-isoimmunized pregnancies at 18 to 26 weeks' gestation. The severity of fetal anemia was assessed by fetal blood sampling. Results in the isoimmunized group were compared with a control population of 410 normal pregnancies at 17 to 32 weeks' gestation. In the absence of fetal hydrops, none of the parameters studied could reliably distinguish mild from severe fetal hemolytic disease.

摘要

在50例孕18至26周的恒河猴血型不合免疫妊娠中,对胎盘厚度、肝外及肝内脐静脉直径、腹围、头围、头/腹围比及腹腔容积进行了超声测量。通过胎儿采血评估胎儿贫血的严重程度。将免疫组的结果与410例孕17至32周正常妊娠的对照组进行比较。在无胎儿水肿的情况下,所研究的参数均不能可靠地区分轻度与重度胎儿溶血病。

相似文献

1
Failure of ultrasonographic parameters to predict the severity of fetal anemia in rhesus isoimmunization.超声参数未能预测恒河猴血型不合溶血病中胎儿贫血的严重程度。
Am J Obstet Gynecol. 1988 Apr;158(4):920-6. doi: 10.1016/0002-9378(88)90095-6.
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Have Liley charts outlived their usefulness?利利图表是否已不再有用?
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Percutaneous umbilical transfusion in severe rhesus isoimmunization: resolution of fetal hydrops.严重恒河猴血型不合溶血病的经皮脐血输血:胎儿水肿的消退
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Fetal haemoglobin measurement in the assessment of red cell isoimmunisation.评估红细胞同种免疫时的胎儿血红蛋白测定
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引用本文的文献

1
Intrauterine blood transfusion in immune hydrops fetalis, corrects middle cerebral artery Doppler velocimetry very quickly.宫内输血治疗免疫性胎儿水肿,能很快纠正大脑中动脉多普勒超声血流速度。
Bosn J Basic Med Sci. 2012 Feb;12(1):37-40. doi: 10.17305/bjbms.2012.2532.
2
Haemolytic disease of newborn.新生儿溶血病
Indian J Pediatr. 2001 Feb;68(2):167-72. doi: 10.1007/BF02722039.
3
Rh haemolytic disease: continuing problem of management.Rh溶血病:持续存在的管理问题。
Arch Dis Child. 1990 Apr;65(4 Spec No):365-8. doi: 10.1136/adc.65.4_spec_no.365.