病例报告：日本一例因胎盘前置导致围产期脑室周围白质软化症并引发脑瘫
Case Report: Peripartum periventricular leukomalacia resulting in cerebral palsy associated with placenta previa in Japan.
作者信息
Suzuki Shunji
机构信息
Department of Obstetrics and Gynecology, Japanese Red Cross Katsushika Maternity Hospital, Katsushika-ku, Tokyo, 124-0012, Japan.
出版信息
F1000Res. 2024 Aug 6;9:241. doi: 10.12688/f1000research.22878.5. eCollection 2020.
Intrapartum fetal heart rate monitoring abnormalities had been reported to correlate with decreased umbilical artery base excess associated with neonatal seizures. However, we present an infant born at 35 weeks of gestation diagnosed with cerebral palsy associated with periventricular leukomalacia (PVL) without fetal heart rate (FHR) monitoring abnormalities, According to the summary reports of PVL cases published on the home page of the Japan Obstetric Compensation System for Cerebral Palsy (JOCSC)), the percentage of placenta previa without FHR monitoring abnormalities in the cases of PVL was 5.7% (12/209), which seemed to be higher than the total percentage of placenta previa reported in Japan (0.3-0.5%).
据报道，产时胎儿心率监测异常与新生儿惊厥相关的脐动脉碱剩余降低有关。然而，我们报告了一名孕35周出生的婴儿，诊断为与脑室周围白质软化症（PVL）相关的脑瘫，但其胎儿心率（FHR）监测并无异常。根据日本脑瘫产科赔偿系统（JOCSC）主页上发布的PVL病例总结报告，PVL病例中无FHR监测异常的前置胎盘百分比为5.7%（12/209），这似乎高于日本报道的前置胎盘总百分比（0.3 - 0.5%）。
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