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糖尿病母亲婴儿的先天性异常。

Congenital Abnormalities in the Infant of a Diabetic Mother.

机构信息

Department of Neonatology, Memorial Care Miller Children's and Women's Hospital Long Beach, Long Beach, CA.

出版信息

Neoreviews. 2022 May 1;23(5):e319-e327. doi: 10.1542/neo.23-5-e319.

Abstract

Diabetes mellitus is among the most common chronic diseases worldwide. Infants of diabetic mothers are at increased risk of having congenital abnormalities. Tremendous progress has been achieved in the pregnancy care of diabetic women; however, the risk of birth defects associated with maternal diabetes still exists. These anomalies might arise in many organs and systems of the developing fetus. Many mechanisms have been implicated in the teratogenicity of maternal diabetes and it is critical to achieve good glycemic control before conception in women with diabetes. Neonatal clinicians must be able to identify patients at risk and recognize the signs of diabetic embryopathy. This article presents a review of congenital anomalies associated with maternal diabetes.

摘要

糖尿病是全球最常见的慢性疾病之一。患有糖尿病的母亲所生的婴儿发生先天性异常的风险增加。在糖尿病女性的妊娠护理方面已经取得了巨大进展;然而,与母亲糖尿病相关的出生缺陷风险仍然存在。这些异常可能发生在发育中胎儿的许多器官和系统中。许多机制与母体糖尿病的致畸性有关,对于患有糖尿病的女性,在怀孕前实现良好的血糖控制至关重要。新生儿临床医生必须能够识别有风险的患者,并识别糖尿病胚胎病的迹象。本文综述了与母亲糖尿病相关的先天性异常。

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