Monday, November 22, 2010

33 測量子宮內生長遲緩(intrauterine growth restriction)胎兒的臍帶動脈之杜卜勒血流時,出現下列何
種波形,表示胎兒血液循環有嚴重障礙,通常要儘快生產?
 Reversed end-diastolic flow  S/D ratio<3.0
 S/D ratio<2.0  S/D ratio<1.0
A

REVERSE ED FLOW IS THE MOST SEVERE ONE!

Absent or reversed end-diastolic flow velocity (AEDFV) waveforms in the umbilical arteries of growth-restricted fetuses have been presented by many investigators as a sign of poor fetal outcome

Systolic/diastolic (S/D) ratio : CORD TORSION!!!!
Excessive torsion of cord diagnosed by ultrasound and in postnatal anatomy had the same rate of 91%. With lower pitch values (<2.0)>3.0), the possibility of fetal distress was increased, the neonatal Apgar score was decreased and umbilical blood pH values <>

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