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对宫内胎儿发育迟缓诊断的贡献(作者译)

[Contribution towards diagnostics of intrauterine fetal retardation (author's transl)].

作者信息

Kyank H

出版信息

Zentralbl Gynakol. 1980;102(6):313-20.

PMID:7467967
Abstract
  1. Among the simple manual methods for recording intrauterine retardation repeated measurements of the symphysis-fundus distance according to Westin are most valuable. -- 2. Among the hormone-determining methods the estimation of urinary estrogens or unconjugated estriol in serum is generally accepted. -- 2. Estimations of enzymes are of no value (diamine oxidase, alkaline leukocyte phosphatase, heat stable alkaline phosphatase) or have only little significance (cystine aminopeptidase). -- 4. Biochemical methods are being replaced to an increasing extent by biophysical ones both for recording fetal retardation by ultrasonics and fetal well-being by CTG, non-stress test, oxytocin-challenge test and, recently, by registration of fetal breathing and rump movements. -- 5. As a provisional method for evaluation of fetal behaviour the counting of fetal movements by the pregnant women herself can be recommended.
摘要
  1. 在记录子宫内发育迟缓的简单手工方法中,根据韦斯汀重复测量耻骨联合上缘至宫底距离最为有价值。——2. 在激素测定方法中,测定尿雌激素或血清中未结合雌三醇已被广泛接受。——2. 酶的测定(二胺氧化酶、碱性白细胞磷酸酶、热稳定碱性磷酸酶)没有价值,或仅有很小的意义(胱氨酸氨肽酶)。——4. 无论是通过超声记录胎儿发育迟缓,还是通过宫缩图、无应激试验、催产素激惹试验,以及最近通过记录胎儿呼吸和臀部运动来评估胎儿健康状况,生化方法正越来越多地被生物物理方法所取代。——5. 作为评估胎儿行为的临时方法,可推荐孕妇自行计数胎动。

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