Catanzarite V A, Schrimmer D B, Maida C, Mendoza A
Maternal-Fetal Medicine and Pathology, Mary Birch Hospital for Women, Sharp Memorial Hospital, San Diego, California 92123, USA.
Prenat Diagn. 1995 Mar;15(3):229-35. doi: 10.1002/pd.1970150306.
The sinusoidal fetal heart rate pattern has been described in association with severe fetal anaemia, with fetal hypoxaemia, and with the administration of parenteral narcotics. Here, we report a case of decreased fetal movement in which a sinusoidal tracing was recorded. The sonographic diagnosis of a massive fetal intracranial haemorrhage was made. A non-interventive approach was taken and the fetus died soon after in utero. We review 28 previous cases in which the prenatal sonographic diagnosis of fetal intracranial haemorrhage was made, including the underlying maternal and fetal factors and neonatal outcomes. We propose that the sinusoidal tracing in this case was due to the intracranial bleed and suggest that fetal intracranial haemorrhage be considered in the sonographic evaluation of the fetus with a sinusoidal pattern.
正弦型胎儿心率模式已被描述与严重胎儿贫血、胎儿低氧血症以及胃肠外使用麻醉药品有关。在此，我们报告一例胎儿活动减少且记录到正弦型描记图的病例。超声诊断为巨大胎儿颅内出血。采取了非干预性措施，胎儿不久后在子宫内死亡。我们回顾了之前28例产前超声诊断胎儿颅内出血的病例，包括潜在的母体和胎儿因素以及新生儿结局。我们认为该病例中的正弦型描记图是由颅内出血所致，并建议在对具有正弦型模式的胎儿进行超声评估时应考虑胎儿颅内出血。
