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宫内死亡时胎儿心率监测的误判

Misinterpretation of fetal heart rate monitoring in case of intrauterine death.

作者信息

Achiron R, Zakut H

出版信息

Clin Exp Obstet Gynecol. 1984;11(4):126-9.

PMID:6499185
Abstract

Electronic fetal heart rate monitoring has become a routine examination to assess fetal well-being. This report presents an unusual case in which maternal heart rate tachycardia was obtained from a dead fetus and was interpreted erroneously. The dead fetus conducted maternal ECG even through a scalp electrode by amplifying the input signal through the Automatic Control system of the monitoring equipment. The importance of concomitant maternal radial pulse recording or a real time scan is stressed.

摘要

电子胎心监护已成为评估胎儿健康状况的常规检查。本报告介绍了一例罕见病例,即从死胎中获取了母体心动过速心率并被错误解读。即使通过头皮电极,死胎也能通过监测设备的自动控制系统放大输入信号来传导母体心电图。强调了同时记录母体桡动脉脉搏或进行实时扫描的重要性。

相似文献

1
Misinterpretation of fetal heart rate monitoring in case of intrauterine death.宫内死亡时胎儿心率监测的误判
Clin Exp Obstet Gynecol. 1984;11(4):126-9.
2
Misdiagnosis of fetal heart rate during a twin labour. Case report.双胎分娩时胎儿心率的误诊。病例报告。
Br J Obstet Gynaecol. 1980 Dec;87(12):1174-7. doi: 10.1111/j.1471-0528.1980.tb04495.x.
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Maternal ECG recorded by internal monitoring closely mimicking fetal heart rate in a recent fetal death.近期一例胎儿死亡病例中,通过内部监测记录的母亲心电图与胎儿心率极为相似。
Int J Gynaecol Obstet. 1990 Nov;33(3):269-71. doi: 10.1016/0020-7292(90)90013-b.
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Transmission of the maternal electrocardiograph via a fetal scalp electrode in the presence of intrauterine death. Case report.宫内死亡情况下经胎儿头皮电极传输母体心电图。病例报告。
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Documentation of recent fetal demise with simultaneous maternal and fetal heart rate monitoring.近期胎儿死亡的记录,同时进行母体和胎儿心率监测。
Obstet Gynecol. 1980 Mar;55(3 Suppl):28S-30S. doi: 10.1097/00006250-198003001-00009.
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Electronic fetal heart rate monitoring with intrauterine fetal demise.胎儿宫内死亡时的电子胎心监护
J Obstet Gynecol Neonatal Nurs. 1987 Jul-Aug;16(4):249-52. doi: 10.1111/j.1552-6909.1987.tb01581.x.
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Misleading information from fetal monitoring in a case of intrapartum fetal death.一例产时胎儿死亡病例中胎儿监护的误导性信息。
Obstet Gynecol. 1974 May;43(5):713-7.
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[Physical findings concerning the conductivity of the maternal ECG through the dead fetus in utero, using a direct cardiotocographic system].
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[Possibilities for misinterpretation of direct fetal electrocardiography].[直接胎儿心电图解读错误的可能性]
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Maternal or fetal heart rate? Avoiding intrapartum misidentification.是产妇心率还是胎儿心率?避免产时误判。
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Unrecognized maternal heart rate artefact in cases of perinatal mortality reported to the United States Food and Drug Administration from 2009 to 2019: a critical patient safety issue.2009 年至 2019 年期间,美国食品和药物管理局报告的围产期死亡病例中出现的未识别的母体心率伪影:一个关键的患者安全问题。
BMC Pregnancy Childbirth. 2019 Dec 16;19(1):501. doi: 10.1186/s12884-019-2660-5.
2
Improvements in fetal heart rate analysis by the removal of maternal-fetal heart rate ambiguities.通过消除母胎心率模糊性来改善胎儿心率分析。
BMC Pregnancy Childbirth. 2015 Nov 19;15:301. doi: 10.1186/s12884-015-0739-1.