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胎儿酒精综合征

Foetal alcohol syndrome.

作者信息

Poskitt E M

出版信息

Alcohol Alcohol. 1984;19(2):159-65.

PMID:6497961
Abstract

Foetal alcohol syndrome (FAS) is the combination of growth retardation, neurological impairment and abnormal facies shown by some infants born to alcoholic women. It seems likely that FAS only indicates a small proportion of the total damage inflicted on the foetus by maternal drinking. Levels of alcohol consumption below the equivalent of 30 ml per day of absolute alcohol probably do not have a significant effect on the foetus. But there is an increased incidence of either growth retardation or behavioural and congenital abnormalities amongst the infants of women who drink heavily in pregnancy but who are not alcoholic. Such children are sometimes described as showing foetal alcohol effects and such effects are probably commoner than complete FAS. The way in which alcohol damages the foetus is unknown. Genetic and nutritional factors in mother or child may determine the response to alcohol. Smoking appears to potentiate the effects of alcohol on the foetus. Drugs may also alter the foetal response to alcohol. The prevalence of children damaged by maternal drinking is impossible to estimate. Foetal alcohol effects overlap with many other congenital and developmental abnormalities. FAS is more common than 1 in 2500 births in Liverpool and may even approach the incidence of 1 or 2 cases per 1000 births seen in U.S.A. and Scandinavia.

摘要

胎儿酒精综合征(FAS)是指患有酒精中毒的女性所生的部分婴儿出现的生长发育迟缓、神经功能损害及面部异常的综合症状。胎儿酒精综合征似乎仅占母亲饮酒对胎儿造成的全部损害的一小部分。每天酒精摄入量低于相当于30毫升纯酒精的水平可能对胎儿没有显著影响。但是,孕期大量饮酒但未患酒精中毒的女性所生婴儿中,生长发育迟缓或行为及先天性异常的发生率会增加。这类儿童有时被描述为有胎儿酒精影响,而且这种影响可能比完全型胎儿酒精综合征更为常见。酒精损害胎儿的方式尚不清楚。母亲或孩子的遗传和营养因素可能决定对酒精的反应。吸烟似乎会增强酒精对胎儿的影响。药物也可能改变胎儿对酒精的反应。因母亲饮酒而受损害的儿童的患病率难以估计。胎儿酒精影响与许多其他先天性和发育异常情况有重叠。在利物浦,胎儿酒精综合征在每2500例出生中超过1例,甚至可能接近在美国和斯堪的纳维亚半岛每1000例出生中有1或2例的发生率。

相似文献

1
Foetal alcohol syndrome.胎儿酒精综合征
Alcohol Alcohol. 1984;19(2):159-65.
2
[Alcohol consumption, pregnancy and fetal alcohol syndrome: implications in public health and preventive strategies].[饮酒、妊娠与胎儿酒精综合征:对公共卫生的影响及预防策略]
Ann Ig. 2006 Sep-Oct;18(5):391-406.
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Teratogenesis of alcohol.酒精的致畸作用。
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Pregnancy and alcohol: occasional, light drinking may be safe.怀孕与饮酒:偶尔少量饮酒或许是安全的。
Prescrire Int. 2012 Feb;21(124):44-50.
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[Alcohol drinking and intrauterine dystrophia. Effects and significance in infancy].
Monatsschr Kinderheilkd. 1992 Jan;140(1):34-41.
6
Alcohol and foetal damage.
Alcohol Alcohol. 1985;20(2):185-8.
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Alcohol consumption and other maternal risk factors for fetal alcohol syndrome among three distinct samples of women before, during, and after pregnancy: the risk is relative.孕期前、孕期中和产后三个不同女性样本中酒精摄入及胎儿酒精综合征的其他母体风险因素:风险是相对的。
Am J Med Genet C Semin Med Genet. 2004 May 15;127C(1):10-20. doi: 10.1002/ajmg.c.30011.
8
Alcohol-related birth defects: an update.酒精相关的出生缺陷:最新进展
Public Health Rep. 1988 Nov-Dec;103(6):638-42.
9
Patterns of alcohol consumption and fetal development.酒精消费模式与胎儿发育
Obstet Gynecol. 1983 May;61(5):539-46.
10
Maternal risk factors for fetal alcohol syndrome and partial fetal alcohol syndrome in South Africa: a third study.南非胎儿酒精综合征和部分胎儿酒精综合征的母亲风险因素:第三项研究
Alcohol Clin Exp Res. 2008 May;32(5):738-53. doi: 10.1111/j.1530-0277.2008.00634.x. Epub 2008 Mar 11.

引用本文的文献

1
Association between prenatal alcohol exposure and children's facial shape: a prospective population-based cohort study.产前酒精暴露与儿童面部形状的关联:一项前瞻性基于人群的队列研究。
Hum Reprod. 2023 May 2;38(5):961-972. doi: 10.1093/humrep/dead006.
2
Alcohol misuse.酒精滥用
Arch Dis Child. 2001 Feb;84(2):95-7. doi: 10.1136/adc.84.2.95.