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21世纪的产科学:一位50岁未育女性在公园里散步?

21st century obstetrics: a 50-year-old nullip-walk in the park?

作者信息

Balachandran Nair Deepa, Gopal Dipesh P, Singh Vinita

机构信息

Obstetrics and Gynaecology, The Royal Free Hospital, London, UK.

Centre for Primary Care and Public Health, Barts and The London School of Medicine and Dentistry, London, UK.

出版信息

BMJ Case Rep. 2018 Feb 8;2018:bcr-2017-222950. doi: 10.1136/bcr-2017-222950.

DOI:10.1136/bcr-2017-222950
PMID:29437809
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5836624/
Abstract

We discuss the case of a 50-year-old nulliparous woman who conceived after fertilisation. She had multiple medical comorbidities and presented an obstetric and medical challenge. She was carefully managed through pregnancy and had a successful outcome. In this report, we explore the medical complexity, as well as ethical and logistic issues involved.

摘要

我们讨论了一名50岁未生育女性在受精后怀孕的病例。她有多种合并症,带来了产科和医疗方面的挑战。她在孕期得到了精心管理,最终获得了成功的结果。在本报告中,我们探讨了其中涉及的医学复杂性以及伦理和后勤问题。

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1
21st century obstetrics: a 50-year-old nullip-walk in the park?21世纪的产科学:一位50岁未育女性在公园里散步?
BMJ Case Rep. 2018 Feb 8;2018:bcr-2017-222950. doi: 10.1136/bcr-2017-222950.
2
Pregnancy in diabetes: reducing the risks.糖尿病患者妊娠:降低风险
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Geburtshilfe Frauenheilkd. 1986 Sep;46(9):625-30. doi: 10.1055/s-2008-1036268.
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[Management of diabetes in pregnancy. Various procedures].[妊娠期糖尿病的管理。各种程序]
Gynakol Geburtshilfliche Rundsch. 1993;33 Suppl 1:172-3. doi: 10.1159/000272206.
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[Diabetes and pregnancy--gynecologic aspects].[糖尿病与妊娠——妇科方面]
Arch Gynecol Obstet. 1989;245(1-4):266-72. doi: 10.1007/BF02417271.
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Infant of a diabetic mother: a preexisting disease?糖尿病母亲的婴儿:一种先天性疾病?
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Pregnancy in a patient with type 1 diabetes mellitus and prior ischaemic heart disease.1型糖尿病合并既往缺血性心脏病患者的妊娠情况。
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[Results of a 5-year program for pregnant diabetics in south-eastern Poland. II. Course of pregnancy, pregnancy results and diabetes complications].[波兰东南部妊娠糖尿病患者5年项目的结果。II. 妊娠过程、妊娠结局及糖尿病并发症]
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From minimal background diabetic retinopathy to profuse sight threatening vitreoretinal haemorrhage: management issues in a case of pregestational diabetes and pregnancy.从轻度背景性糖尿病视网膜病变到严重威胁视力的玻璃体视网膜出血:一例孕前糖尿病合并妊娠的管理问题
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Diabetologia. 2018 May;61(5):1022-1026. doi: 10.1007/s00125-018-4565-7. Epub 2018 Feb 7.

本文引用的文献

1
Ethical issues associated with medical tourism in Africa.非洲医疗旅游相关的伦理问题。
J Mark Access Health Policy. 2017 May 5;5(1):1309770. doi: 10.1080/20016689.2017.1309770. eCollection 2017.
2
Diabetic Nephropathy and Pregnancy.糖尿病肾病与妊娠。
Semin Nephrol. 2017 Jul;37(4):362-369. doi: 10.1016/j.semnephrol.2017.05.008.
3
Health Effects of Overweight and Obesity in 195 Countries over 25 Years.25年间195个国家超重和肥胖对健康的影响
N Engl J Med. 2017 Jul 6;377(1):13-27. doi: 10.1056/NEJMoa1614362. Epub 2017 Jun 12.
4
The reversing association between advanced maternal age and child cognitive ability: evidence from three UK birth cohorts.高龄产妇与儿童认知能力呈负相关:来自英国三个出生队列的证据。
Int J Epidemiol. 2017 Jun 1;46(3):850-859. doi: 10.1093/ije/dyw354.
5
A Systematic Review and Meta-Analysis of Outcomes of Pregnancy in CKD and CKD Outcomes in Pregnancy.慢性肾脏病患者妊娠结局及妊娠合并慢性肾脏病结局的系统评价与荟萃分析
Clin J Am Soc Nephrol. 2015 Nov 6;10(11):1964-78. doi: 10.2215/CJN.09250914. Epub 2015 Oct 20.
6
New and old milestones in reproductive medicine.生殖医学中的新旧里程碑。
Lancet. 2015 Feb 14;385(9968):577. doi: 10.1016/S0140-6736(15)60217-3.
7
The Obstetric Comorbidity Index predicts severe maternal morbidity.产科合并症指数可预测严重孕产妇发病率。
BJOG. 2015 Dec;122(13):1756. doi: 10.1111/1471-0528.13297. Epub 2015 Feb 2.
8
Validation of an obstetric comorbidity index in an external population.产科合并症指数在外部人群中的验证
BJOG. 2015 Dec;122(13):1748-55. doi: 10.1111/1471-0528.13254. Epub 2015 Jan 5.
9
What do we know about medical tourism? A review of the literature with discussion of its implications for the UK National Health Service as an example of a public health care system.我们对医疗旅游了解多少?本文回顾了相关文献,并以英国国民医疗服务体系为例,探讨了其对公共医疗保健系统的影响。
J Travel Med. 2014 Nov-Dec;21(6):410-7. doi: 10.1111/jtm.12147. Epub 2014 Aug 25.
10
Surgery for weight loss in adults.成人减肥手术。
Cochrane Database Syst Rev. 2014 Aug 8;2014(8):CD003641. doi: 10.1002/14651858.CD003641.pub4.