Sekizuka N, Hanaoka J, Takeuchi Y, Tokunaga A
Department of Obstetrics and Gynecology, Niigata University School of Medicine, Japan.
J Perinat Med. 1994;22(5):441-5. doi: 10.1515/jpme.1994.22.5.441.
This paper reports two cases of abruptio placentae assessed using pulsed Doppler at 29 and 30 weeks of gestation. Transvaginal pulsed Doppler showed abnormal uterine artery FVWs in both cases. One fetus with normal umbilical and normal middle cerebral artery FVWs was not acidotic and only midly hypoxic, whereas the other fetus with normal umbilical and abnormal middle cerebral artery FVWs was severely acidotic and hypoxic at birth. It is suggested that Doppler assessment of fetal blood distribution is of great value for the rapid diagnosis of fetal asphyxia, and that uteroplacental FVWs provide reliable information on which to base the diagnosis of abruptio placentae.
本文报告了两例妊娠29周和30周时使用脉冲多普勒评估的胎盘早剥病例。经阴道脉冲多普勒显示两例病例的子宫动脉血流速度波形均异常。一例胎儿脐动脉和大脑中动脉血流速度波形正常，未发生酸中毒，仅有轻度缺氧；而另一例胎儿脐动脉正常但大脑中动脉血流速度波形异常，出生时严重酸中毒且缺氧。提示多普勒评估胎儿血液分布对快速诊断胎儿窒息具有重要价值，且子宫胎盘血流速度波形可为胎盘早剥的诊断提供可靠依据。
