Goldstein I, Jakobi P, Gutterman E, Milo S
Department of Obstetrics and Gynecology, Rambam Medical Center, Faculty of Medicine, Technion, Haifa, Israel.
Ann Thorac Surg. 1995 Oct;60(4):1116-8. doi: 10.1016/0003-4975(95)00673-9.
The fetal death rate associated with cardiac operations using cardiopulmonary bypass in pregnant women is as high as 9.5% to 29%. We present a case in which fetal heart rate and umbilical artery flow velocity waveforms were continuously monitored by transvaginal ultrasonography and analyzed in relation to events of the cardiopulmonary bypass. Our findings suggest that hypothermia during cardiopulmonary bypass has potentially deleterious effects on the fetus and should be avoided if possible.
孕妇使用体外循环进行心脏手术的胎儿死亡率高达9.5%至29%。我们报告一例通过经阴道超声连续监测胎儿心率和脐动脉血流速度波形，并与体外循环事件相关联进行分析的病例。我们的研究结果表明，体外循环期间的低温对胎儿可能有有害影响，应尽可能避免。
