Simpson L L, Marx G R
Department of Pediatrics, Tufts University of Medicine, New England Medical Center, Boston, MA 02111.
Semin Perinatol. 1994 Jun;18(3):215-27.
Although a great deal of controversy surrounds the concept of routine ultrasound screening, 70% of pregnant women in this country undergo ultrasound examination. Assessment of the fetal heart including a four-chamber view is recommended when ultrasound scans in the second and third trimester are performed. The accurate diagnosis of structural heart disease and cardiac dysrhythmias is now possible with advances in ultrasound and fetal echocardiography. Increased prenatal screening and genetic counseling have improved the management of these complicated pregnancies. It is hoped that the detection of significant congenital heart disease will continue to increase leading to further advances in medical and surgical treatment, improved patient care, and favorable perinatal outcomes.
尽管常规超声筛查的概念存在诸多争议，但该国70%的孕妇都接受了超声检查。在进行孕中期和孕晚期超声扫描时，建议评估胎儿心脏，包括四腔心切面。随着超声和胎儿超声心动图技术的进步，现在已经能够准确诊断结构性心脏病和心律失常。增加产前筛查和遗传咨询改善了这些复杂妊娠的管理。人们希望，重大先天性心脏病的检出率将继续提高，从而推动医学和外科治疗取得进一步进展，改善患者护理，并获得良好的围产期结局。
