Zeitschrift fur Geburtshilfe und Perinatologie最新文献_第9页

[Fetal heart rate and Doppler flow parameters in fetal blood vessels--evaluation of 2,517 individual signals]. [胎儿血管中的胎儿心率和多普勒血流参数——2517个个体信号的评估]。

Zeitschrift fur Geburtshilfe und Perinatologie Pub Date : 1993-03-01

W Rühle, J Gnirs, W Schmidt

引用次数: 0

[Intrauterine therapy of fetal supraventricular tachycardia with digoxin and verapamil]. 地高辛联合维拉帕米宫内治疗胎儿室上性心动过速。

Zeitschrift fur Geburtshilfe und Perinatologie Pub Date : 1993-03-01

W Engelhardt, R G Grabitz, A Funk, G von Bernuth

{"title":"[Intrauterine therapy of fetal supraventricular tachycardia with digoxin and verapamil].","authors":"W Engelhardt, R G Grabitz, A Funk, G von Bernuth","doi":"","DOIUrl":"","url":null,"abstract":"Fetal supraventricular tachycardia may cause intrauterine heart failure and thus require transplacental treatment. During a period of nine years, we treated nine of eleven fetuses (gestational age ranging from the 26th to the 36th week) suffering from paroxysmal supraventricular tachycardia (10) or atrial flutter (1). The remaining two fetuses did not receive antiarrhythmic therapy because of only short lasting supraventricular tachycardia. Two fetuses were hydropic at the onset of therapy. Diagnosis of the rhythm disorder was established by m-mode echocardiography. All nine fetuses treated received digoxin after diagnosis of supraventricular tachycardia. Three of these reverted to sinus rhythm, one remained in supraventricular tachycardia which, however, was well tolerated. Five fetuses (three because of failure of digoxin alone and two because of a severely symptomatic supraventricular tachycardia) were treated with a combination of digoxin and verapamil. All five fetuses responded to the combined treatment, two of them, however, were delivered prematurely because of recurrence of supraventricular tachycardia in one and amnion-infection syndrome in the other. All patients survived and no severe fetal or maternal side effects were observed. Our experience confirms that digoxin and verapamil are usually effective in treating fetal supraventricular tachycardia. Some fetuses with short lasting and self limiting supraventricular tachycardia may not need any treatment, and a few not responding to digoxin and verapamil may require other antiarrhythmic drugs.","PeriodicalId":23919,"journal":{"name":"Zeitschrift fur Geburtshilfe und Perinatologie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1993-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19315528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Doppler ultrasound of fetal blood vessels--optimizing the diagnostic value by a combined diagram]. 【胎儿血管多普勒超声——组合图优化诊断价值】。

Zeitschrift fur Geburtshilfe und Perinatologie Pub Date : 1993-03-01

W Rühle, C L Graf von Ballestrem, A K Ertan, W Schmidt

引用次数: 0

[Clinical experiences with passive immunotherapy in habitual abortion]. 被动免疫治疗习惯性流产的临床体会

Zeitschrift fur Geburtshilfe und Perinatologie Pub Date : 1993-03-01

L Heilmann, A Kriechbaum, B Hojnacki, V Bode, H Wolf

引用次数: 0

[Discrepancy between Apgar score and umbilical artery pH value in the newborn infant. (Correlation to mode of delivery and fetal outcome?)]. 新生儿Apgar评分与脐动脉pH值的差异。(是否与分娩方式和胎儿结局有关?)

Zeitschrift fur Geburtshilfe und Perinatologie Pub Date : 1993-03-01

R Obwegeser, R Böhm, W Gruber

{"title":"[Discrepancy between Apgar score and umbilical artery pH value in the newborn infant. (Correlation to mode of delivery and fetal outcome?)].","authors":"R Obwegeser, R Böhm, W Gruber","doi":"","DOIUrl":"","url":null,"abstract":"In a retrospective study data from more than 9000 live births were analyzed. Our aim was to compare the significance of Apgar-Score and umbilical artery pH in predicting the condition and development of the newborn. We were particularly interested in three groups of patients: \"Group A\" included patients with a 5 minute Apgar-Score < or = 7 and a normal pH > 7,2. In \"Group P\" the pH was < 7,10 combined with a normal Apgar-Score (8 to 10). Both groups were compared with a \"normal group\" (pH > 7,20 and Apgar-Score between 8 and 10). There was a higher percentage of operative deliveries in group A (38%) and group P (20%) compared to the normal group (15%). The only predictor of a low Apgar-Score was meconium stained amniotic fluid (Group A 16%). A poor condition of the newborn correlated much better with a low Apgar-Score than with a low umbilical artery pH. In group A the rate of newborns transferred to the neonatology unit was 43% and the perinatal mortality rate was 50%. The poor correlation of a low umbilical artery pH and the fetal outcome is partly explainable by the standard cut off level of 7,20 for acidosis, which seems to be too high.","PeriodicalId":23919,"journal":{"name":"Zeitschrift fur Geburtshilfe und Perinatologie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1993-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19314128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Circadian rhythm of pregnancy contractions]. [妊娠宫缩的昼夜节律]。

Zeitschrift fur Geburtshilfe und Perinatologie Pub Date : 1993-01-01

V Zahn, W Hattensperger

引用次数: 0

[Doppler ultrasound results of hemodilution treatment]. [血液稀释治疗多普勒超声结果]。

Zeitschrift fur Geburtshilfe und Perinatologie Pub Date : 1993-01-01

L Heilmann, G F von Tempelhoff

引用次数: 0

[Obstetric-perinatal status 1990 in the Oder region (a contribution to the obstetric-perinatal care in East Brandenburg)]. [奥德地区1990年产科围产期状况(对东勃兰登堡产科围产期护理的贡献)]。

Zeitschrift fur Geburtshilfe und Perinatologie Pub Date : 1993-01-01

S Rummler, G Schüssling

引用次数: 0

[3d ultrasound in prenatal diagnosis]. 【3d超声在产前诊断中的应用】

Zeitschrift fur Geburtshilfe und Perinatologie Pub Date : 1993-01-01

C Sohn, G Bastert

{"title":"[3d ultrasound in prenatal diagnosis].","authors":"C Sohn, G Bastert","doi":"","DOIUrl":"","url":null,"abstract":"Three-dimensional sonography is a logical development of conventional sonography, and is a consequence of the fact that every examiner tries to imagine the three-dimensional appearance of an organ on the basis of the tomographic images of it. In a long development process starting with the first 3D images in 1986/87 and lasting until today, we succeeded in developing a 3D system suitable for routine examinations, which the manufacturer is now marketing commercially. With a 3D transducer a coordinated sequence of tomograms is obtained; all the images are then computed transparently and subsequently imaged three-dimensionally as a crystalline volume. Movement of the 3D image on the computer screen is important for three-dimensional identification. The volume thus computed can then be bisected in longitudinal, transverse and horizontal planes and thus examined in real-time without any interference such as fetal movements. The horizontal sections cannot be obtained by conventional sonography. On the basis of more than 600 patients examined by this new method it was established that 3D imaging of malformations improves diagnosis and assessment, that examinations deliver accurate and reproducible results, and that section analysis can substantially facilitate diagnosis of fetal malformations.","PeriodicalId":23919,"journal":{"name":"Zeitschrift fur Geburtshilfe und Perinatologie","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1993-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19467264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Prospective study of the clinical value of C-reactive protein in amniotic infection syndrome]. c反应蛋白在羊膜感染综合征临床价值的前瞻性研究。

Zeitschrift fur Geburtshilfe und Perinatologie Pub Date : 1993-01-01

A Luttkus, K Windel, J W Dudenhausen

引用次数: 0