查詢結果分析
來源資料
相關文獻
- Retrospective Analysis of 17 Liveborn Neonates with Hydrops Fetalis
- Hydrops Fetalis with Complete Heart Block Secondary to Congenital Lupus: Report of One Case
- Molecular Characterization and Prenatal Diagnosis of α-Thalassemia in Taiwanese
- Ultrasound Recognition and Treatment of Fetal Supraventricular Tachycardia with Hydrops: A Case Report
- 胎兒水腫
- 胎兒水腫
- 胎兒水腫及心臟異常
- α地中海型貧血之巴氏血紅素胎兒水腫的產前超音波診斷
- Neonatal Outcome of Hydrops Fetalis
- Demographic Characteristics and Trends in the Prevalence of Low Birth Weight from Singleton Pregnancies in Taiwan, 1978-1997
頁籤選單縮合
題 名 | Retrospective Analysis of 17 Liveborn Neonates with Hydrops Fetalis=回溯性分析17例胎兒水腫之活產新生兒 |
---|---|
作 者 | 劉倢安; 黃新純; 周英英; | 書刊名 | 長庚醫學 |
卷 期 | 25:12 2002.12[民91.12] |
頁 次 | 頁826-831 |
分類號 | 417.517 |
關鍵詞 | 胎兒水腫; 活產; Hydrops fetalis; Liveborn; |
語 文 | 英文(English) |
中文摘要 | 回溯性分析17例胎兒水腫之活產新生兒 背景:造成胎兒水腫的原因很多,隨著時代進步,雖然產前診斷與胎內治療已有相當的進步,但胎兒水腫仍是一個少見而高死亡率的新生兒疾病。絕大多數患嬰在產前即死亡,至於那些得以存活到出生者,也難以繼續存活下去。此一回溯性研究主要是收集活產的胎兒水腫的病例,並分析其臨床表現,致病因及相關預後。 方法:我們回溯性收集自1995年10用至2001年5月出生的17例患有胎兒水腫之活產新生兒,根據其診斷週數及出生週數、出生體重、Apgar score、母親及胎兒的表現、實驗室檢查、發生原因及預後加以分析。 結果:平均診斷年齡為懷孕30.5週,平均出生週數為33.8週,男女比例為8:9。大多數病嬰出生時有腹水和心臟擴大的現象。造成胎兒水腫的主因是心血管疾病,死亡率為59%。分析結果發現,預後較差的因子包括:懷孕時期較早發現診斷的、Apgar score偏低、嚴重酸中毒和心包膜積水者。 結論:雖然早期診斷胎兒水腫已較為容易,但產前的胎治療經驗仍有限,若能在發現胎兒致病因時隨即進行胎內治療,可望改善活產胎兒水腫病人之預後。 |
英文摘要 | Background: Hydrops fetails (HF) is a condition with a high mortality rate. The cause may be due to a variety of underlying diseases. In the majority of cases, death occurs antepartum and intrapartum. For those that are born alive, it is difficult to survive. The purpose of this study was to analyze the clinical manifestations, etiologies and outcomes of liveborn babies with hydrops fetalis. Methods: From October 1995 through May 2001 17 liveborn neonates that presented with HF were admitted to our neonate intensive care unit (NICU). We were retrospectively reviewed their records. Climical data including gestational age (GA) at diagnosis and birth, birth weight, Apgar score, maternal and fetal presentations, laboratory data, etiology and outcome were retrospectively collected and analyzed. Results: The mean GA at diagnosis was 30.5 weeks and the mean GA at birth was 33.8 weeks. The male to female ratio was 8:9. Most cases presented with ascites (12/17) and cardiomegaly (8/17). The most common problem faced by the liveborn HF neonates was cardiovascular anomalies (7/17). Seven of these liveborn HF neonates survived. The overall mortality rate of HF in this review was 59%. In comparison with survival cases, those that died were diagnosed earlier, had lower Apgar scores, had more severe acidosis, and had pericardial effusion. Conclusion: Recent advances in prenatal ultrasonographic examinations have made early detection of fetal hydrops possible. The mortality rate of these liveborn hydropic neonates without receiving prenatal therapy was high. More effort in prenatal intervention is needed in order to decrease the mortality rate and improve the outcome of neonates with HF. |
本系統中英文摘要資訊取自各篇刊載內容。