DeVore G R, Steiger R M, Larson E J
Obstet Gynecol. 1987 Mar;69(3 Pt 2):494-7.
As the result of auscultation of fetal bradycardia in a class C diabetic, real-time and M-mode echocardiography were performed at 14 weeks of gestation. M-mode evaluation revealed fetal bradycardia (70 beats per minute) with atrial and ventricular systole occurring simultaneously, suggesting a nodal rhythm. Real-time examination demonstrated a ventricular septal defect, pericardial effusion, ventricular wall hypertrophy, and a dilated aortic root. Also present were fetal ascites and situs inversus of the stomach. A repeat ultrasound examination revealed fetal death at 16 weeks of gestation. Autopsy confirmed the above structural abnormalities, and also demonstrated bilobed lungs, pulmonary artery and valve hypoplasia, midline small intestine, and asplenia.
由于一名C级糖尿病孕妇听诊发现胎儿心动过缓，于妊娠14周时进行了实时和M型超声心动图检查。M型评估显示胎儿心动过缓（每分钟70次心跳），心房和心室收缩同时发生，提示为结性心律。实时检查显示室间隔缺损、心包积液、心室壁肥厚和主动脉根部扩张。还存在胎儿腹水和胃反位。再次超声检查显示妊娠16周时胎儿死亡。尸检证实了上述结构异常，还显示肺叶双叶、肺动脉和瓣膜发育不全、中线小肠和无脾。
