Diagnosis, surveillance, and treatment of the anemic fetus using middle cerebral artery peak systolic velocity measurement

Diagnosis, surveillance, and treatment of the anemic fetus using middle cerebral artery peak systolic velocity measurement
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大脑中动脉收缩期峰值速度测量对贫血胎儿的诊断、监测和治疗

DOI:
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发表时间:
2006
期刊:
影响因子:
3
通讯作者:
S. Yagel
S. Yagel
中科院分区:
医学2区
文献类型:
--
作者:
T. Imbar;A. Lev;S. Cohen;N. Yanai;S. Yagel

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由于早期诊断和脐带穿刺输血,贫血胎儿的宫内病程已显著改善。子宫内侵入性手术(如脐带穿刺术和脐带穿刺术)已成为评估和治疗贫血胎儿的重要方式。然而,它们对母亲和胎儿都有风险。随访贫血胎儿的一种有效且敏感的无创方法是评价大脑中动脉收缩期峰值流速(MCA-PSV)的变化。这是一个敏感的工具,用于评估胎儿贫血和对治疗的反应。脑内血管对胎儿贫血状态的反应最早,并且易于超声检查。
The in utero course of the anemic fetus has improved dramatically, owing to early diagnosis and cordocentesis transfusion. In utero invasive procedures such as amnio‐ and cordocentesis have become important modalities in the evaluation and treatment of anemic fetuses. However, they carry risks for both the mother and fetus. A valid and sensitive noninvasive means of following the anemic fetus is the evaluation of changes in the middle cerebral artery peak systolic flow velocity (MCA‐PSV). This is a sensitive tool for both the evaluation of fetal anemia and response to treatment. Intracerebral vessels respond earliest to the fetal anemic state, and are readily accessible for ultrasound examination.
正常人类胎儿大脑中动脉血流量的纵向定量。
DOI: 10.1016/0002-9378(93)90406-9
发表时间: 1993
影响因子: 9.8
作者:
Veille,JC;Hanson,R;Tatum,K
通讯作者: Tatum,K
凯尔溶血性贫血中胎儿红细胞生成减少和溶血。
DOI: 10.1016/s0002-9378(96)70425-8
发表时间: 1996
影响因子: 9.8
作者:
Weiner,CP;Widness,JA
通讯作者: Widness,JA