Pruetz Jay D, Votava-Smith Jodie, Miller David A
Division of Cardiology, Children's Hospital Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA; Department of Obstetrics & Gynecology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Division of Cardiology, Children's Hospital Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Semin Fetal Neonatal Med. 2015 Aug;20(4):217-24. doi: 10.1016/j.siny.2015.03.007. Epub 2015 Mar 29.
Comprehensive assessment of fetal wellbeing involves monitoring of fetal growth, placental function, central venous pressure, and cardiac function. Ultrasound evaluation of the fetus using 2D, color Doppler, and pulse-wave Doppler techniques form the foundation of antenatal diagnosis of structural anomalies, rhythm abnormalities and altered fetal circulation. Accurate and timely prenatal identification of the fetus at risk is critical for appropriate parental counseling, antenatal diagnostic testing, consideration for fetal intervention, perinatal planning, and coordination of postnatal care delivery. Fetal hemodynamic monitoring and serial assessment are vital to ensuring fetal wellbeing, particularly in the setting of complex congenital anomalies. A complete hemodynamic evaluation of the fetus gives important information on the likelihood of a smooth postnatal transition and contributes to ensuring the best possible outcome for the neonate.
胎儿健康的综合评估包括监测胎儿生长、胎盘功能、中心静脉压和心脏功能。使用二维、彩色多普勒和脉冲波多普勒技术对胎儿进行超声评估，是产前诊断结构异常、节律异常和胎儿循环改变的基础。准确、及时地产前识别有风险的胎儿，对于进行适当的父母咨询、产前诊断检测、考虑胎儿干预、围产期规划以及产后护理的协调至关重要。胎儿血流动力学监测和系列评估对于确保胎儿健康至关重要，尤其是在复杂先天性异常的情况下。对胎儿进行全面的血流动力学评估可提供有关产后平稳过渡可能性的重要信息，并有助于确保新生儿获得最佳可能结果。
