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[母亲使用非甾体类抗炎药与动脉导管闭合]

[Maternal use of non-steroidal antiinflammatory drugs and closure of the ductus arteriosus].

作者信息

Ndour Daouda Diamane

机构信息

Service de Néonatologie et Réanimation Néonatale, Centre Hospitalier Universitaire Albert Royer Dakar, Université Cheikh Anta Diop de Dakar BP: 5005 Dakar-Fann, Sénégal.

出版信息

Pan Afr Med J. 2016 Dec 21;25:251. doi: 10.11604/pamj.2016.25.251.10317. eCollection 2016.

Abstract

We report a case of intrauterine premature closure of the ductus arteriosus diagnosed in an anasarca fetus associated with major heart failure following mother's ingestion of non-steroidal anti-inflammatory drugs (NSAID). Second trimester obstetric ultrasound allowed detection of an asymmetry of the cardiac chambers. Caesarean section was perfomed at 30 weeks of pregnancy to remove anasarca fetus with major heart failure due to prenatal closure of the ductus arteriosus. Based upon this case, we conducted a literature review to highlight potential fetal and neonatal complications resulting from early closure of the ductus arteriosus secondary to NSAID use during pregnancy.

摘要

我们报告了一例动脉导管宫内过早闭合的病例,该病例诊断于一名全身水肿胎儿,其母亲摄入非甾体类抗炎药(NSAID)后出现严重心力衰竭。孕中期产科超声检查发现心脏腔室不对称。妊娠30周时进行剖宫产,以娩出因动脉导管产前闭合而患有严重心力衰竭的全身水肿胎儿。基于该病例,我们进行了文献综述,以强调孕期使用NSAID继发动脉导管过早闭合所导致的潜在胎儿和新生儿并发症。

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