Hirose O
J Cardiogr. 1984 Aug;14(2):415-22.
Fetal echocardiography was performed in 16 patients referred for the evaluation of cardiac arrhythmias at 29 to 39 weeks' gestation and in 5 normal fetuses for the control. In all fetuses, the heart could be visualized by two-dimensional echocardiography. Monitoring the four-chamber view by two-dimensional echocardiography, we examined recorded the contraction sequence of the atrial and ventricular walls and the ventricular septum by single or dual M-mode echocardiograms, and could diagnose various arrhythmias including atrial flutter, complete and incomplete heart blocks, premature contractions and sinus arrhythmias. These arrhythmias frequently accompanied with heart failure, which was evaluated fairly well by total cardiac dimensions echocardiographically determined. Ascites, pleural effusion, pericardial effusion and skin edema were mostly observed in severe congestive heart failure.
对16例妊娠29至39周因心律失常前来评估的患者及5例正常胎儿进行了胎儿超声心动图检查作为对照。在所有胎儿中，均可通过二维超声心动图观察到心脏。通过二维超声心动图监测四腔心切面，我们用单或双M型超声心动图检查并记录了心房壁、心室壁及室间隔的收缩顺序，能够诊断包括心房扑动、完全性和不完全性心脏传导阻滞、早搏及窦性心律失常在内的各种心律失常。这些心律失常常伴有心力衰竭，通过超声心动图测定的全心径可对心力衰竭进行较好评估。腹水、胸腔积液、心包积液及皮肤水肿多见于严重充血性心力衰竭。
