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双胞胎之一患有室上性心动过速:治疗中涉及的伦理困境。

Supraventricular tachycardia in one of the twins: The ethical dilemmas involved in treatment.

作者信息

Doraiswamy Vinoth, Natarajan Lalitha, Venkatesh Chitra Tv

机构信息

Department of Cardiology, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India.

Department of Fetal Medicine, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India.

出版信息

Ann Pediatr Cardiol. 2020 Apr-Jun;13(2):150-152. doi: 10.4103/apc.APC_204_19. Epub 2020 Apr 13.

DOI:10.4103/apc.APC_204_19
PMID:32641889
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7331848/
Abstract

The pediatric cardiologist now has an important role to play in fetal medicine. They are often called upon to manage fetal cardiac problems such as arrhythmias or perform fetal cardiac interventions such as balloon valvuloplasty or atrial septostomy. In these scenarios, it becomes very important for the pediatric cardiologist to understand the concepts of "fetus as a patient," "viability," etc., and their implications in management. We try to shed light on these principles through our case scenario of managing supraventricular tachycardia in one of the fetuses of a twin pregnancy.

摘要

儿科心脏病专家如今在胎儿医学中发挥着重要作用。他们常常被要求处理胎儿心脏问题,如心律失常,或进行胎儿心脏干预,如球囊瓣膜成形术或房间隔造口术。在这些情况下,儿科心脏病专家理解“胎儿作为患者”“生存能力”等概念及其在管理中的意义变得非常重要。我们试图通过双胎妊娠中一个胎儿室上性心动过速的病例场景来阐明这些原则。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85ae/7331848/c6c7f95f2bed/APC-13-150-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85ae/7331848/c6c7f95f2bed/APC-13-150-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85ae/7331848/c6c7f95f2bed/APC-13-150-g001.jpg

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本文引用的文献

1
Periviable Birth - The Ethical Conundrum.可存活极限孕周前出生——伦理困境
Indian Pediatr. 2019 Jan 15;56(1):13-17.
2
Fetal cardiac arrhythmias: Current evidence.胎儿心律失常:当前证据
Ann Pediatr Cardiol. 2018 May-Aug;11(2):148-163. doi: 10.4103/apc.APC_134_17.
3
Obstetric Care consensus No. 6: Periviable Birth.产科保健共识 6:极早产儿分娩。
Obstet Gynecol. 2017 Oct;130(4):e187-e199. doi: 10.1097/AOG.0000000000002352.
4
Treatment of Fetal Supraventricular Tachycardia.胎儿室上性心动过速的治疗
Curr Treat Options Cardiovasc Med. 2017 Jan;19(1):7. doi: 10.1007/s11936-017-0506-x.
5
Ethical dimensions of the fetus as a patient.胎儿作为患者的伦理维度。
Best Pract Res Clin Obstet Gynaecol. 2017 Aug;43:2-9. doi: 10.1016/j.bpobgyn.2016.12.007. Epub 2017 Jan 23.
6
Fetal cardiac interventions.
Pediatr Neonatol. 2015 Apr;56(2):81-7. doi: 10.1016/j.pedneo.2014.04.007. Epub 2014 Jul 24.
7
A critical analysis of the concept and discourse of 'unborn child'.对“未出生胎儿”概念及相关论述的批判性分析。
Am J Bioeth. 2008 Jul;8(7):34-9. doi: 10.1080/15265160802248161.
8
Scientific and religious controversies about the beginning of human life: the relevance of the ethical concept of the fetus as a patient.关于人类生命起源的科学与宗教争议:胎儿作为患者这一伦理概念的相关性。
J Perinat Med. 2007;35(5):376-83. doi: 10.1515/JPM.2007.088.
9
Intrauterine therapy for fetal supraventricular tachycardia in a twin pregnancy.
J Obstet Gynaecol Res. 2005 Apr;31(2):94-7. doi: 10.1111/j.1447-0756.2005.00252.x.
10
Successful digoxin therapy of fetal supraventricular tachycardia in a triplet pregnancy.三联体妊娠中胎儿室上性心动过速的地高辛成功治疗
Obstet Gynecol. 2001 Nov;98(5 Pt 2):921-3. doi: 10.1016/s0029-7844(01)01436-3.