Platt L D, DeVore G R
Clin Perinatol. 1982 Oct;9(3):627-36.
The advent of diagnostic ultrasound has now made it possible to evaluate early markers of developing fetal hydrops. Because of these developments, the recognition of these adverse findings can be treated and the disease process reversed. This has been done in cases of Rh disease by intervening intrauterine transfusion, by medically treating the fetal arrhythmias, and/or by treating the basic underlying maternal disorder. The ultrasound examination of the hydropic fetus must include a thorough evaluation for structural anomalies, which can best be accomplished at referral centers where Stage II ultrasound examinations can be carried out. Not all conditions associated with hydrops fetalis are lethal. We therefore believe that timed delivery and atraumatic birth are essential to ensure the optimal outcome.
诊断性超声的出现使得评估胎儿水肿发展的早期标志物成为可能。由于这些进展，对这些不良发现的识别得以治疗，疾病进程得以逆转。在Rh疾病的病例中，通过进行宫内输血、药物治疗胎儿心律失常和/或治疗母亲潜在的基础疾病来实现这一点。对水肿胎儿的超声检查必须包括对结构异常的全面评估，这在能够进行II级超声检查的转诊中心能够最好地完成。并非所有与胎儿水肿相关的情况都是致命的。因此，我们认为适时分娩和无创伤分娩对于确保最佳结局至关重要。
