Diagnosis of impaired fetal growth in newborn infants.
Diagnosis of impaired fetal growth in newborn infants.
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新生儿胎儿生长受损的诊断。
DOI：
10.1542/peds.48.4.511
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发表时间：
1971
期刊：
影响因子：
8
通讯作者：
K. Hassanein
中科院分区：
文献类型：
--
作者：
Herbert C. Miller;K. Hassanein
对大量新生儿进行了冠踵长度、头围和出生体重的测量。出生体重本身往往不是胎儿生长障碍的有效指标。通过测量身长、头大小沿着和出生体重，确定了四种不同的胎儿生长障碍模式。这四种模式包括婴儿有异常短的身体长度的日期，婴儿有证据的不成比例的增长之间的身体长度和头围，婴儿谁积累了大量的软组织肿块，和婴儿谁积累了太少的软组织肿块。每种模式的诊断标准是前瞻性获得的，并考虑了种族、性别、胎龄和产次对每种模式的影响。
四种模式的单独鉴定提供了比从出生体重和计算的胎龄获得的胎儿生长障碍更精确的描述。
Measurements of crown-heel length, head circumference, and birth weight were made on a large number of newborn infants. Birth weight by itself was frequently not a valid measure of fetal growth impairment. By including measurements of body length and head size along with birth weight, four distinct patterns of fetal growth impairment were identified. The four patterns included infants who had abnormally short body lengths for dates, infants who had evidence of disproportionate growth between body length and head circumference, infants who accumulated excessive amounts of soft-tissue mass, and infants who accumulated too little soft-tissue mass. Criteria for diagnosing each pattern were obtained prospectively and have been presented with allowances made for the effects of race, sex, fetal age, and parity on each pattern.
The separate identification of the four patterns provided a more precise description of fetal growth impairment than could be obtained from birth weight and calculated gestational age.