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[心肌炎及孤立性先天性房室传导阻滞所致胎儿死亡]

[Fetal death caused by myocarditis and isolated congenital auriculoventricular block].

作者信息

Herreman G, Ferme I, Morel S, Batisse J, Vuon N P, Meyer O

出版信息

Presse Med. 1985 Sep 7;14(29):1547-50.

PMID:2932691
Abstract

A 26-year old woman gave birth, at term, to a child with isolated complete heart block. A second pregnancy was interrupted by foetal death. Among other immunological abnormalities, this young woman had an antibody resembling the anti-SS-B antibody. At pathological examination the foetus' heart was found to be free of malformation but presented with subacute myocarditis associated with microcalcifications of the conductive tissue. Such findings suggest that an incipient myocarditis may either result in foetal death or lead to fibrosis of conduction pathways with isolated complete heart block.

摘要

一名26岁的女性足月分娩出一名患有孤立性完全性心脏传导阻滞的婴儿。第二次怀孕因胎儿死亡而中断。除其他免疫异常外,这名年轻女性有一种类似于抗SS - B抗体的抗体。病理检查发现胎儿心脏无畸形,但有亚急性心肌炎,伴有传导组织的微钙化。这些发现表明,初期心肌炎可能导致胎儿死亡,或导致传导通路纤维化并伴有孤立性完全性心脏传导阻滞。

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