HEMATOLOGIC EVALUATION OF GROWTH RETARDED FETUS BY CORDOCENTESIS
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概要
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IUGR胎児22例にたいし, 超音波ガイド下[サイ]帯静脈穿刺による胎児採血を行い胎児の状態評価を行った. そのほか超音波ドップラー法による[サイ]帯動脈血流波形の解析も同時に行った. 100回の穿刺により採取した胎児血のうち, IUGR, 母体妊娠中毒症, NIHF, Rh不適合妊娠, 胎児奇形などを除いたものを対象としてIUGR胎児を比較すると, pH, pO_2は有意に低く, pCO_2は有意に高かった. とくに母体妊娠中毒症によるIUGR児では低酸素状態に陥っいると考えられる症例が多かった. しかしながら, 血液生化学値は, 血小板数が低いほかは対象と差はなかった. また胎児血による染色体検査で5例の異常が発見された. [サイ]帯動脈血流波形は, 常には胎児の状態を反映するとはいえず, まず, IUGRの病因をできる限り明らかにし, その後の胎児管理に役立てるためには胎児採血による胎児評価をすべきものと考えられる.
- 社団法人日本産科婦人科学会の論文
- 1990-05-01
著者
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YAJIMA AKIRA
Department of Obstetrics and Gynecology, Tohoku University School of Medicine
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WATANABE Takanori
Department of Surgery, Hoshi General Hospital
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Yajima Akira
Department Of Obstetrics And Gynecology Tohoku University School Of Medicine
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MUROTSUKI JUN
Department of Obstetrics and Gynecology, Tohoku University School of Medicine
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OKUMA Kunihiro
Department of Obstetrics and Gynecology, Tohoku University School of Medicine
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TANIGAWARA Shingo
Department of Obstetrics and Gynecology, Tohoku University School of Medicine
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SHINTAKU Yoshiyuki
Department of Obstetrics and Gynecology, Tohoku University School of Medicine
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ENDO Hidetaka
Department of Obstetrics and Gynecology, Tohoku University School of Medicine
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IWAMOTO Mitsuru
Department of Obstetrics and Gynecology, Tohoku University School of Medicine
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WATANABE TAKANORI
Sendai Municipal Hospital
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TANIGAWARA SHINGO
Sendai Red Cross Hospital
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Endo Hidetaka
Department Of Obstetrics And Gynecology Tohoku University School Of Medicine
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Murotsuki Jun
Department Of Obstetrics And Gynecology Iwate Medical University School Of Medicine
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Okuma Kunihiro
Department Of Obstetrics And Gynecology Tohoku University School Of Medicine
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Iwamoto Mitsuru
Department Of Obstetrics And Gynecology Tohoku University School Of Medicine
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Watanabe Takanori
Department Of Obstetrics And Gynecology Tohoku University School Of Medicine
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Watanabe Takanori
Department Of General Medicine And Cardiology Graduate School Of Medicine Osaka City University
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Tanigawara Shingo
Department Of Obstetrics And Gynecology Tohoku University School Of Medicine
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Shintaku Yoshiyuki
Department Of Obstetrics And Gynecology Tohoku University School Of Medicine
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Okamura Kunihiko
Center For Perinatal Medicine Tohoku University Hospital
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Watanabe Takanori
Department Of Biochemistry Osaka City University Medical School
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Okuma Kunihiro
Department Of Obstetrics And Gynecology Tohoku University Graduate School Of Medicine
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Murotsuki Jun
Department Of Advanced Fetal And Developmental Medicine Tohoku University Graduate School Of Medicin
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Okuma Kunihiro
Department Of Gynecology And Obstetrics Tohoku University Hospital
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