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[正常胎儿动脉导管解剖及血流模式的超声心动图研究]

[Echocardiographic study on the anatomy and blood flow pattern of ductus arteriosus in normal fetus].

作者信息

Wu Y F

机构信息

Anzhen Hospital, Beijing.

出版信息

Zhonghua Fu Chan Ke Za Zhi. 1993 Sep;28(9):530-1, 568-9.

PMID:8313744
Abstract

The anatomy and blood flow pattern of ductus arteriosus in fetus were studied by echocardiogram in 51 pregnant women. According to the duration of pregnancy, women were divided into 3 groups: group A (15-24 weeks) 15 cases; group B (25-34 weeks) 23 cases; and group C (35-41 weeks) 13 cases. The mean blood flow velocity in ductus arteriosus was 88.8 cm/sec in group A, 112.7 cm/sec in group B, and 130.4 cm/sec in group C (P < 0.0001), and they were significantly higher than that in aorta and pulmonary artery (P < 0.001). The characteristics of Doppler blood flow pattern was higher peak velocity in systolic and lower in diastolic. The ratio of diameter of right pulmonary artery to ductus arteriosus was 1:1. To recognize the characteristic blood flow pattern is a reliable sign to identify ductus arteriosus in fetus, and reference data of ductus arteriosus blood flow was presented.

摘要

采用超声心动图对51例孕妇胎儿动脉导管的解剖结构及血流模式进行了研究。根据孕周,将孕妇分为3组:A组(15 - 24周)15例;B组(25 - 34周)23例;C组(35 - 41周)13例。A组动脉导管平均血流速度为88.8 cm/秒,B组为112.7 cm/秒,C组为130.4 cm/秒(P < 0.0001),且均显著高于主动脉和肺动脉(P < 0.001)。多普勒血流模式的特点是收缩期峰值速度较高,舒张期较低。右肺动脉与动脉导管直径之比为1:1。认识特征性血流模式是识别胎儿动脉导管的可靠标志,并给出了动脉导管血流的参考数据。

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