产前诊断先天性心脏病合并先天性膈疝患儿的产后结局

Prenatal Cardiology Pub Date : 2014-12-01 DOI:10.12847/12143
K. Więckowska, L. Dudarewicz, H. Moczulska, M. Słodki, Z. Pietrzak, M. Respondek-Liberska
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引用次数: 3

摘要

摘要本研究的主要目的是确定产前超声和超声心动图对三级保健中心先天性心脏病(CHD)合并膈疝(DH)预后的预测价值。对波兰母亲纪念医院研究所诊断和预防先天性畸形部数据库中的11份记录进行了审查。产妇平均年龄29.2±5.1岁,诊断时平均胎龄28.4±6.7周。没有关于出院儿童的资料。并对文献中8例产前DH合并复杂心脏病的资料进行分析。三个胎儿在新生儿期存活了下来。在每一项研究中,冠心病都不是紧急或危重型,定义为在出生的第一天或第一个月不需要心脏手术干预。本中心收集的数据和已发表的文献均证实重度或危重型冠心病合并DH的胎儿预后不良。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Postnatal Outcomes of Children with Prenatally Diagnosed Congenital Heart Disease Combined with Congenital Diaphragmatic Hernia
Abstract The primary aim of this study was to determine the predictive value of prenatal ultrasound and echocardiography for prognosis in congenital heart disease (CHD) with coexisting diaphragmatic hernia (DH) in a tertiary care center. Eleven records from the database of the Department for Diagnoses and Prevention of Congenital Malformations, Polish Mother’s Memorial Hospital Research Institute, were reviewed. The mean maternal age was 29,2 ± 5,1 years, and the mean gestational age at the time of diagnosis was 28,4 ± 6,7 weeks. No information was available for children discharged from hospital. Data of eight cases of prenatal DH and complex heart disease from the literature were also analyzed. Three fetuses survived the neonatal period. In each of these, CHD was other than the urgent or critical type, defined as not requiring cardiac surgical intervention in the first day or month of life. Both sets of data collected from our center and the published literature confirmed the unfavorable prognosis for fetuses with severe or critical CHD with coexisting DH.
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