中国实用妇科与产科杂志

中国实用妇科与产科杂志 ›› 2021, Vol. 37 ›› Issue (11): 1108-1112.DOI: 10.19538/j.fk2021110108

• 专题笔谈 • 上一篇    下一篇

死胎的预测及其高危人群的管理

  

  1. 同济大学附属第一妇婴保健院 上海市母胎医学重点实验室，胎儿医学科&产前诊断中心，上海 200120
  • 出版日期:2021-11-02 发布日期:2021-11-02
  • 通讯作者: 孙路明
  • 基金资助:
    国家重点研发计划（2018YFC1002900）；上海市2021年度“科技创新行动计划”医学创新研究专项（21Y11907500）

Prediction of stillbirths and management of high-risk population.

  1. Shanghai Key Laboratory of Maternal Fetal Medicine，Department of Fetal Medicine & Prenatal Diagnosis Center，Shanghai First Maternity and Infant Hospital，Tongji University School of Medicine，Shanghai 200120，China
  • Online:2021-11-02 Published:2021-11-02

摘要： 死胎是各种高危因素下母体、胎儿、胎盘疾病的终末期结局。早中孕期联合母体病史、超声胎儿生长及子宫动脉多普勒血流评估、母体血清胎盘生长因子，对胎盘受损所致死胎的预测价值较高，但对足月死胎的预测价值有限。正确识别死胎的高危因素，加强高危人群的孕前及孕期管理，有效利用各种产前监护手段以及适时分娩，可降低死胎的发生率。

关键词: 死胎, 预测, 高危因素, 预防

Abstract: Stillbirth is the final outcome of maternal，fetal and placental diseases under various risk factors. The predictive value of stillbirths due to impaired placentation using a combination of maternal factors，fetal biometry，uterine artery Doppler and maternal serum placenta growth factor during the first and  second trimester was high，but it is limited  for term stillbirths.Correct identification of high-risk factors of stillbirth，strengthening the management of preconception and pregnancy in high-risk groups，using various prenatal monitoring methods effectively and timely delivery can  reduce the occurrence of stillbirth.

Key words: stillbirth, prediction, risk factors, prevention

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