非免疫性胎儿水肿。

Q2 Medicine
NeoReviews Pub Date : 2024-08-01 DOI:10.1542/neo.25-8-e475
Shannon B Dunn, Julie R Whittington
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引用次数: 0

摘要

非免疫性胎儿水肿(NIHF)死亡率高且病因多样,是围产期护理的一大挑战。本综述全面探讨了 NIHF 的病理生理学、病因学、产前诊断和管理、产后护理和预后。NIHF 由多种潜在病因引起,包括遗传性疾病、心血管疾病和胎儿感染,诊断技术的进步提高了识别率。处理策略包括对重症病例终止妊娠,对某些可治疗的病因进行胎儿治疗,新生儿护理包括评估和治疗积液并确定潜在病因。预后取决于诊断时的胎龄和所需的复苏程度等因素,在改善受影响婴儿的预后方面仍存在挑战。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Nonimmune Hydrops Fetalis.

Nonimmune hydrops fetalis (NIHF) poses a significant challenge in perinatal care due to its high mortality rates and diverse etiologies. This comprehensive review examines the pathophysiology, etiology, antenatal diagnosis and management, postnatal care, and outcomes of NIHF. NIHF arises from numerous underlying pathologies, including genetic disorders, cardiovascular causes, and fetal infections, with advances in diagnostic techniques improving identification rates. Management strategies include termination of pregnancy for severe cases and fetal therapy for selected treatable etiologies, and neonatal care involves assessing and treating fluid collections and identifying underlying causes. Prognosis depends on factors such as gestational age at diagnosis and the extent of resuscitation needed, with challenges remaining in improving outcomes for affected infants.

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来源期刊
NeoReviews
NeoReviews Medicine-Pediatrics, Perinatology and Child Health
CiteScore
2.20
自引率
0.00%
发文量
110
期刊介绍: Co-edited by Alistair G.S. Philip, MD, FAAP, and William W. Hay Jr., MD, FAAP, NeoReviews each month delivers 3 to 4 clinical reviews, case discussions, basic science insights and "on the horizon" pieces. Written and edited by experts, these concise reviews are available to NeoReviews subscribers at http://neoreviews.aappublications.org. Since January 2009, all clinical articles have been mapped to the American Board of Pediatrics (ABP) content specifications in neonatology.
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