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胎儿动脉导管收缩或早闭的早期诊断与治疗并文献分析 被引量：6

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摘要 目的探讨胎儿动脉导管收缩或早闭的早期临床诊断及处理。方法报道胎儿动脉导管收缩导致右心功能衰竭1例,并收集近年文献进行复习,总结该疾病的临床表现、诊断、处理及患儿预后。结果收集近年来12篇胎儿动脉导管收缩或早闭的文献,共33例,其中5例母亲孕期有使用前列腺素合成酶抑制剂病史,胎儿心脏彩色超声均提示动脉导管不同程度的收缩或关闭,部分伴有右心室、右心房扩大,右心室肥大,三尖瓣或肺动脉瓣反流,肺动脉扩张及胎儿水肿。5例死亡,其余病例均存活,绝大部分病例预后良好,2例头颅MRI提示缺氧缺血性脑病(HIE)。结论母亲无使用前列腺素合成酶抑制剂史的胎儿亦可以发生动脉导管收缩或早闭,产前超声对该疾病的诊断具有重要意义,早期诊断并适时终止妊娠可以挽救患儿生命,大部分患儿预后良好。
作者 陈慧卿 李易娟 黄越芳 庄思齐
机构地区 中山大学附属第一医院儿科
出处 《中华临床医师杂志（电子版）》 CAS 2010年第11期I0015-I0018,共4页 Chinese Journal of Clinicians(Electronic Edition)
关键词 动脉导管 胎儿 产前诊断 超声心动描记术 预后
分类号 R714.5 [医药卫生—妇产科学]
  • 相关文献

参考文献16

  • 1Gewillig M,Brown SC,De Catte L,et al.Premature foetal closure of the arterial duct:clinical presentations and outcome.Eur Heart J,2009,30(12):1530-1536.
  • 2Hofstadler G,Tulzer G,Altmann R,et al.Spontaneous closure of the human fetal ductus arteriosus-A cause of fetal congestive heart failure.Am J Obstet Gynecol,1996,174(3):879-883.
  • 3Soslow JH,Friedberg MK,Silverman NH.Idiopathic premature closure of the ductus arteriosus:an indication for early delivery.Echocardi-ography,2008,25(6):650-652.
  • 4Auer M,Brezinka C,Eller P,et al.Prenatal diagnosis of intrauterine premature closure of the ductus arteriosus following maternal diclofenac application.Ultrasound Obstet Gynecol,2004,23(5):513-516.
  • 5Kondo T,Kitazawa R,Noda-Maeda N,et al.Fetal hydrops associated with spontaneous premature closure of ductus arteriosus.Pathol Int,2006,56(9):554-557.
  • 6Aslam M,Christou HA.Intrauterine closure of the ductus arteriosus:implications for the neonatologist.Am J Perinatol,2009,26 (7):473-478.
  • 7Trevett TN Jr,Cotton J.Idiopathic constriction of the fetal ductus arteriosus.Ultrasound Obstet Gynecol,2004,23(5):517-519.
  • 8Donofrio MT.Images in cardiovascular medicine.Premature closure of the foramen ovale and ductus arteriosus in a fetus with transposition of the great arteries.Circulation,2002,105(11):e65-e66.
  • 9Harlass FE,Duff P,Brady K,et al.Hydrops fetalis and premature closure of the ductus arteriosus:a review.Obstet Gynecol Surv,1989,44(7):541-543.
  • 10朱梅,刘传玺,李垂平,王月美.彩色多普勒超声诊断胎儿动脉导管早闭[J].中华超声影像学杂志,2004,13(4):278-280. 被引量：30

二级参考文献8

  • 1Mielke G,Steil E,Gonser M.Prenatal diagnosis of idiopathic stenosis of the ductus arteriosus associated with fetal atrial flutter[].Fetal Diagnosis and Therapy.1997
  • 2Yaman C,Arzt W,Tulzer G,et al.Spontaneous constriction of the fetal ductus arteriosus[].Zeitschrift fur Geburtshilfe und Neonatologie.1999
  • 3Hofstadler G,Tulzer G,Altmann R,et al.Spontaneous closure of the human fetal ductus arteriosus: a cause of fetal congestive heart failure[].American Journal of Obstetrics and Gynecology.1996
  • 4Tumbarello R,Pisu F,Pisano E.Timely detection of premature closure of the ductus arteriosus in a full-term fetus.Important role of fetal echocardiography[].Minerva Ginecologica.1999
  • 5Takahashi Y,Harada K,Ishida A,et al.Doppler echocardiographic findings of indomethacin-induced occlusion of the fetal ductus arteriosus[].The American Journal of Perinatology.1996
  • 6付俊峰,张荣和,徐云峰,赵夏,王玲,陈宝国,张源祥.胎儿动脉导管的超声观测及其意义[J].中国临床解剖学杂志,2008,26(5):513-516. 被引量：20
  • 7吴江,吴雅峰,杨新春,徐琳,张涓,隗冬梅,姜维.正常胎儿心脏肺循环血流的超声心动图特征[J].中国超声医学杂志,2003,19(8):598-600. 被引量：10
  • 8朱梅,刘传玺,李垂平,王月美.彩色多普勒超声诊断胎儿动脉导管早闭[J].中华超声影像学杂志,2004,13(4):278-280. 被引量：30

共引文献31

同被引文献30

  • 1许燕,接连利,刘清华,赵霞,董发进.胎儿动脉导管异常的超声心动图表现[J].中华医学超声杂志（电子版）,2011,8(4):743-748. 被引量：8
  • 2McCann SM,Emery SP,Vallejo MC.Anesthetic management of a parturient with fetal sacrococcygeal teratoma and mirror syndrome complicated by elevated hCG and subsequent hyperthyroidism.J Clin Anesth,2009,21:521-524.
  • 3Matsubara S,Ohmaru T,Ohkuchi A,et al.Mirror syndrome associated with hydropic acardius in triplet pregnancy.Fetal Diagn Ther,2008,24:429-433.
  • 4Mizrahi-Arnaud A,Wilkins Haug L,Marshall A,et al.Maternal mirror syndrome after in utero aortic valve dilation A case report.Fetal Diagn Ther,2006,21:439-443.
  • 5Espinoza J, Romero R, Nien JK, et al. A role of the anti-angiogenic fac- torsVEGFR-1 in the tnirror syndrome'( Ballantyne syndrome). J Ma- tern Fetal Neonatal Med,2006,19:607-613.
  • 6Braun T,Brauer M,Fuchs I,et al.Mirror syndrome:a systematic review of fetal associated conditions,maternal presentation and perinatal outcome.Fetal Diagn Ther,2010,27:191-203.
  • 7Lobato G,Nakamura-Pereira M.Reversion of the Ballantyne syndromedespite fetal hydrops persistence.Fetal Diagn Ther,2008,24:474477.
  • 8Matter M, Almamafawey H, Hafez M, et al. Patent ductus arterio- sus stenting in complex congenital heart disease:early and midt- erm results for a single-center experience at children hospital, Mansoura, Egypt [ J ]. Pediatr Cardio1,2013,34 ( 5 ) : 1100-1106.
  • 9Smolich JJ, Penny DJ, Mynard JP. Enhanced central and conduit pulmonary arterial reservoir function offsets reduced ductal systol- ic outflow during constriction of the fetal ductus arteriosus [ J ]. Am J Physiol Regul Integr Comp Physiol, 2012,302 ( 1 ) : R175- 183.
  • 10李巧玲.胎儿动脉导管早闭3例临床报告[J].中国保健营养止旬刊),2013,23(7):3596.

引证文献6

二级引证文献2

中华临床医师杂志（电子版）
2010年 第11期

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