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对患有合并水肿的膈疝胎儿进行宫内治疗。

In utero treatment of a fetus with diaphragmatic hernia complicated by hydrops.

作者信息

Benacerraf B R, Frigoletto F D

出版信息

Am J Obstet Gynecol. 1986 Oct;155(4):817-8. doi: 10.1016/s0002-9378(86)80027-8.

DOI:10.1016/s0002-9378(86)80027-8
PMID:3532803
Abstract

A case of diaphragmatic hernia is reported where the prenatal diagnosis was made sonographically in a hydropic fetus and the large associated fluid collection in the right side of the chest was aspirated in utero. Almost complete drainage of the chest and abdominal fluid was accomplished, with resolution of the hydrops and no reaccumulation during the last 2 weeks of the pregnancy. After a spontaneous vaginal delivery, the infant was easily stabilized, and underwent operation in good condition.

摘要

本文报告一例膈疝病例,产前通过超声对一水肿胎儿作出诊断,并在子宫内对胸腔右侧大量相关积液进行了抽吸。胸腔和腹腔积液几乎完全引流,水肿消退,在妊娠最后两周未再积聚。经自然阴道分娩后,婴儿很容易稳定下来,并在良好状态下接受了手术。

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引用本文的文献

1
Hydrops and congenital diaphragmatic hernia: reported incidence and postnatal outcomes. Analysis of the congenital diaphragmatic hernia study group registry.胎儿水肿和先天性膈疝:报告发病率和产后结局。先天性膈疝研究组注册分析。
J Perinatol. 2024 Sep;44(9):1340-1346. doi: 10.1038/s41372-024-02010-5. Epub 2024 May 30.
2
Giants in Obstetrics and Gynecology Series: a profile of Beryl Benacerraf, MD.《妇产科学领域的巨擘系列:医学博士贝丽尔·贝纳塞拉夫简介》
Am J Obstet Gynecol. 2021 Jun;224(6):557-566. doi: 10.1016/j.ajog.2021.03.042. Epub 2021 Apr 3.
3
Pleural and pericardial effusion: a potential ultrasonographic marker for the prenatal differential diagnosis between congenital diaphragmatic eventration and congenital diaphragmatic hernia.
胸腔和心包积液:先天性膈膨出与先天性膈疝产前鉴别诊断的潜在超声标志物。
Ultrasound Obstet Gynecol. 2007 Apr;29(4):378-87. doi: 10.1002/uog.3958.
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Antenatal diagnosis of abdominothoracic alimentary tract duplication: a case report.腹胸段消化道重复畸形的产前诊断:一例报告
Surg Radiol Anat. 1991;13(1):53-7. doi: 10.1007/BF01623143.