非免疫性水肿的病因：超声心动图的价值。

Aetiology of non-immune hydrops: the value of echocardiography.

作者信息

Allan L D, Crawford D C, Sheridan R, Chapman M G

出版信息

Br J Obstet Gynaecol. 1986 Mar;93(3):223-5. doi: 10.1111/j.1471-0528.1986.tb07897.x.

DOI:10.1111/j.1471-0528.1986.tb07897.x

Abstract

Forty-eight pregnancies, five of them multiple, were referred for fetal cardiac assessment following the detection of non-immune hydrops fetalis; there were 52 hydropic fetuses in total. A cardiovascular aetiology was found in 21 of these 52 (40%); structural heart disease was present in 13, tachyarrhythmia in the remaining eight. The accurate delineation of these causes was possible using fetal echocardiography, and enabled rational management to be instituted. This included termination of pregnancy, pharmacological control of arrhythmias and appropriate timing of delivery.

摘要

在检测到非免疫性胎儿水肿后，有48例妊娠（其中5例为多胎妊娠）被转诊进行胎儿心脏评估；总共有52例水肿胎儿。在这52例胎儿中，21例（40%）发现有心血管病因；其中13例存在结构性心脏病，其余8例为快速性心律失常。使用胎儿超声心动图能够准确地明确这些病因，并得以制定合理的治疗方案。这包括终止妊娠、心律失常的药物控制以及适当的分娩时机。