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中华医学超声杂志(电子版) ›› 2024, Vol. 21 ›› Issue (01) : 105 -106. doi: 10.3877/cma.j.issn.1672-6448.2024.01.018

病例报告

中孕期体外循环心脏手术应用超声监测围手术期胎儿宫内状态一例
王亚文1, 张一休2,(), 蒋宇林3, 宋锴澄4, 裴丽坚4, 刘欣燕3   
  1. 1. 100730 中国医学科学院 北京协和医学院 北京协和医院超声医学科;100037 中国医学科学院 北京协和医学院 国家心血管病中心 阜外医院超声影像中心
    2. 100730 中国医学科学院 北京协和医学院 北京协和医院超声医学科
    3. 100730 中国医学科学院 北京协和医学院 北京协和医院产科中心
    4. 100730 中国医学科学院 北京协和医学院 北京协和医院麻醉科
  • 收稿日期:2023-01-06 出版日期:2024-01-01
  • 通信作者: 张一休
  • 基金资助:
    中央高水平医院临床科研业务费(2022-PUMCH-A-028)

Ultrasound monitoring of fetal intrauterine status during the perioperative period of cardiopulmonary bypass in mid-pregnancy: a case report

Yawen Wang, Yixiu Zhang(), Yulin Jiang   

  • Received:2023-01-06 Published:2024-01-01
  • Corresponding author: Yixiu Zhang
引用本文:

王亚文, 张一休, 蒋宇林, 宋锴澄, 裴丽坚, 刘欣燕. 中孕期体外循环心脏手术应用超声监测围手术期胎儿宫内状态一例[J]. 中华医学超声杂志(电子版), 2024, 21(01): 105-106.

Yawen Wang, Yixiu Zhang, Yulin Jiang. Ultrasound monitoring of fetal intrauterine status during the perioperative period of cardiopulmonary bypass in mid-pregnancy: a case report[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2024, 21(01): 105-106.

患者,女性,31岁,孕1产0,孕16周,自然受孕,早孕期胎儿颈项透明层厚度正常。1个月前体检行超声心动图检查发现升主动脉及主动脉窦部瘤样扩张,主动脉瓣中度关闭不全,左心室舒张功能减低(Ⅰ级)。患者无胸闷、胸痛等不适,无活动耐量改变,无高血压、冠心病、糖尿病史。为避免中晚孕期心血管负担过重导致主动脉瘤破裂或主动脉夹层形成等不良事件,拟行手术治疗。

图1 手术期间胎儿心率变化曲线
图2 术中多普勒超声监测胎儿心率为72次/min,可见三尖瓣反流 注:E为右心室舒张早期,A为心房收缩期,TR为三尖瓣反流
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