Katz M, Meizner I, Mazor M, Insler V
Isr J Med Sci. 1981 Apr;17(4):260-5.
Repeated samplings of scalp blood pH were obtained from 62 fetuses in whom continuous fetal heart rate monitoring was indicative of fetal distress. In all, 182 scalp blood samples were evaluated. Umbilical cord blood pH was determined immediately after delivery in 48 cases. In addition to heart rate abnormalities, fetal metabolic changes were considered in determining the mode of delivery. Vaginal delivery was allowed in 74.2% of the patient in our series and only 25.8% had cesarean sections. Repeated scalp blood pH sampling proved to be an important adjunct to continuous fetal heart rate monitoring in increasing the accuracy of diagnosis of fetal distress.
对62例胎儿进行了反复头皮血pH值采样，这些胎儿的连续胎心监护提示胎儿窘迫。总共评估了182份头皮血样本。48例在分娩后立即测定了脐血pH值。在决定分娩方式时，除了心率异常外，还考虑了胎儿代谢变化。在我们的系列研究中，74.2%的患者进行了阴道分娩，只有25.8%的患者进行了剖宫产。反复头皮血pH值采样被证明是连续胎心监护的重要辅助手段，可提高胎儿窘迫诊断的准确性。
