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一个毁灭性的诊断:无脑儿伴意外胎儿心跳。

A Devastating Diagnosis: Anencephaly With Unexpected Fetal Heartbeat.

作者信息

Nunes Neil A, Tekulwar Nishchay W, Prasad Ranjit

机构信息

Department of Radio-Diagnosis, Sree Balaji Medical College and Hospital, Chennai, IND.

Radiodiagnosis, Dr Tekulwar Hospital, Allapalli, IND.

出版信息

Cureus. 2024 Aug 20;16(8):e67321. doi: 10.7759/cureus.67321. eCollection 2024 Aug.

Abstract

This case report describes a severe birth defect called anencephaly in a fetus at 18 weeks of pregnancy. Anencephaly occurs when the upper part of the baby's brain and skull do not form correctly. This condition is usually detected earlier in pregnancy, often in the first three months. However, this case was discovered at 18 weeks, highlighting the need for careful monitoring throughout pregnancy. The unique aspect of this case is that most pregnancies with anencephaly do not progress this far. This later diagnosis provides important information about the different ways the condition can develop. By studying cases like this, healthcare providers can improve prenatal care and potentially detect such defects earlier, even in the later stages of pregnancy. Overall, this report emphasizes the importance of continuous monitoring during pregnancy and offers insights that could lead to better diagnosis, care, and support for families facing similar situations.

摘要

本病例报告描述了一名怀孕18周胎儿所患的一种严重出生缺陷——无脑畸形。当婴儿大脑和颅骨的上部未能正常形成时,就会出现无脑畸形。这种情况通常在孕期更早的时候被检测出来,常常是在头三个月。然而,该病例是在18周时才被发现的,这凸显了整个孕期进行仔细监测的必要性。此病例的独特之处在于,大多数患无脑畸形的妊娠不会进展到这么后期。这种较晚的诊断为该病症的不同发展方式提供了重要信息。通过研究这样的病例,医疗保健提供者可以改善产前护理,并有可能更早地检测出此类缺陷,即使是在孕期后期。总体而言,本报告强调了孕期持续监测的重要性,并提供了一些见解,这些见解可能会为面临类似情况的家庭带来更好的诊断、护理和支持。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/662e/11412643/1ca3a274dea9/cureus-0016-00000067321-i01.jpg

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