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胎儿心脏新生物可导致死产和新生儿早期死亡。近年米用回声心动描记器可监测胎儿心脏结构异常,此前已有5例报导,本文再报导1例。一初孕妇31岁,健康,孕32周前经过平顺。32周检查时胎心律不齐,率缓,约100次/分。3次检查未见结构异常,直至孕34周发现右心房后壁上腔静脉入口处有一0.9cm的肿块。此外,左心室基底部肌肉在乳突状凸起处有明显回声波。孕38周心搏缓慢较明显(基线约60次/分),心室功能降低,引产后因产程进展缓慢而行剖腹产,娩出一3,001g女婴。Apgar评分出生后1和5分钟分别为8分和9分,新生儿回声检查进一步证实有右心房肿瘤。回声描记显示P波异常,在5个月时出现皮肤色素
Fetal heart newtons can lead to stillbirth and early neonatal death. In recent years, meters with echocardiography can monitor fetal cardiac structural abnormalities, had been reported in 5 cases, and then reported in 1 case. A first pregnant woman 31 years old, healthy, 32 weeks pregnant before smooth. Fetal arrhythmias 32 weeks check, the rate of slow, about 100 beats / min. 3 times examination showed no structural abnormalities until 34 weeks of pregnancy found in the right atrium posterior wall superior vena cava entrance 0.9cm mass. In addition, the basal muscles of the left ventricle have obvious echogenic waves at the papillae bulge. At 38 weeks of gestation, the asystole was slow (baseline about 60 beats / min) and the ventricular function was reduced. A cesarean section was performed after labor due to the slow progress of labor. A 3,001g girl was delivered. Apgar score 1 and 5 minutes after birth, respectively, 8 and 9 points, neonatal echocardiography confirmed further right atrial tumor. Echocardiography showed an abnormal P wave and a skin pigment appeared at 5 months