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[产前诊断对新生儿外科手术范围的改变]

[Modification of the spectrum of neonatal surgery by prenatal diagnosis].

作者信息

Mau H, Nietsch L, Bollmann R, Prenzlau P, Schilling H, Abet L, Grauel E L

出版信息

Zentralbl Chir. 1987;112(4):227-34.

PMID:3296554
Abstract

Expansion of prenatal diagnosis will alter the spectrum of neonatal surgery. The ethos of the medical profession calls for decision in favour of the mother, whenever evidence can be produced to the effect that a severely damaged or nonviable foetus may endanger the health of the pregnant woman. Humanistically and legally warranted termination of pregnancy in such cases will reduce the number of severely malformed newborns on whom nothing can be done but palliative treatment. Early detection of foetal diseases will enable, on the other hand, well-timed preparation of acutely necessary life-saving interventions and will bring down the rate of emergency operations on newborns.

摘要

产前诊断范围的扩大将改变新生儿外科的格局。每当有证据表明严重受损或无法存活的胎儿可能危及孕妇健康时,医学职业精神要求做出有利于母亲的决定。在这种情况下,从人道主义和法律角度有正当理由终止妊娠,这将减少那些只能进行姑息治疗的严重畸形新生儿的数量。另一方面,胎儿疾病的早期检测将有助于及时做好急需的挽救生命干预措施的准备,并降低新生儿急诊手术的发生率。

相似文献

1
[Modification of the spectrum of neonatal surgery by prenatal diagnosis].[产前诊断对新生儿外科手术范围的改变]
Zentralbl Chir. 1987;112(4):227-34.
2
[Operations guided by echography].[超声引导下的手术]
Rev Prat. 1989 Feb 2;39(3):217-23.
3
Periodic health examination, 1996 update: 1. Prenatal screening for and diagnosis of Down syndrome. Canadian Task Force on the Periodic Health Examination.定期健康检查,1996年更新版:1. 唐氏综合征的产前筛查与诊断。加拿大定期健康检查特别工作组。
CMAJ. 1996 Feb 15;154(4):465-79.
4
[Prenatal diagnosis of genetic disorders (author's transl)].遗传性疾病的产前诊断(作者译)
Rev Med Chil. 1981 Jan;109(1):36-46.
5
[Expectations (and doubts) about the value of prenatal ultrasonic diagnosis in intrauterine and neonatal surgery].
Orv Hetil. 1984 Feb 26;125(9):509-12.
6
Will prenatal diagnosis with selective abortion affect society's attitude toward the handicapped?产前诊断并选择性堕胎会影响社会对残疾人的态度吗?
Prog Clin Biol Res. 1983;128:277-91.
7
[The status of prenatal diagnosis of abnormalities at the Berlin Gynecologic University Clinic].[柏林妇科大学诊所产前异常诊断的现状]
Z Arztl Fortbild (Jena). 1987;81(21):1107-11.
8
Recent advances in the prenatal diagnosis of congenital diseases.
Monogr Pathol. 1981(22):49-51.
9
Fetoscopy.胎儿镜检查
Prog Clin Biol Res. 1985;163B:207-12.
10
[Prenatal diagnosis. Indications and risks of early amniocentesis by placental puncture and fetoscopy].
Minerva Ginecol. 1980 Jun;32(6):527-38.