Aker Karoline, Brantberg Anne, Nyrnes Siri Ann
Department of Pediatrics, St Olavs Hospital, Trondheim University Hospital, Trondheim, Norway.
Department of Gynecology and Obstetrics, National Center for Fetal Medicine, St Olavs Hospital, Trondheim University Hospital, Trondheim, Norway Department of Laboratory Medicine, Children's and Women's Health, Norwegian University of Science and Technology, Trondheim, Norway.
BMJ Case Rep. 2015 Oct 1;2015:bcr2015210473. doi: 10.1136/bcr-2015-210473.
We describe a case of a 21-year-old primigravida at 36 weeks' gestation who was admitted to a local hospital because of abdominal pain. She was prescribed a total of six doses of diclofenac 50 mg over 2 days. One day later, there was difficulty registering the fetal heartbeats on cardiotocography. Ultrasound examination revealed a fetus with ascites and pathological flow over the tricuspid valve. The patient was referred to a tertiary centre for fetal medicine. Fetal echocardiography revealed, in addition to ascites and tricuspid regurgitation, a constricted ductus arteriosus, dilated right ventricle and reduced flow in the pulmonary artery. Immediate caesarean section resulted in an excellent neonatal outcome.
我们描述了一例21岁初产妇，孕36周，因腹痛入住当地医院。在2天内她总共服用了6剂50毫克的双氯芬酸。一天后，胎心监护仪难以记录到胎儿心跳。超声检查显示胎儿有腹水，三尖瓣处有异常血流。该患者被转诊至三级胎儿医学中心。胎儿超声心动图显示，除腹水和三尖瓣反流外，动脉导管狭窄、右心室扩张以及肺动脉血流减少。立即剖宫产取得了良好的新生儿结局。
