羊水异常_全英文版 abnormal amniotic fluid volume概要课件

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1、AbnormalamnioticfluidvolumeAbnormalamnioticfluidvolumePolyhydramniosOligohydramniosPolyhydramniosDefinitionPolyhydramnios isamedicalconditiondescribinganexcessofamnioticfluidinthe amnioticsac.Itisseeninabout1%ofpregnancies. Itistypicallydiagnosedwhentheamnioticfluid

2、isgreaterthan2000ml.Therearetwoclinicalvarietiesofpolyhydramnios:ChronicpolyhydramnioswhereexcessamnioticfluidaccumulatesgraduallyAcutepolyhydramnioswhereexcessamnioticfluidcollectsrapidlyCausesFetalmalformationMultiplepregnancyPlacentaandUmbilicalcordabnormalitiesG

3、estational diabetes mellitusIdiopathicpolyhydramniosPolyhydramniosClinicalManifestationsAcutehydramnios：2.Dyspnea1.Edema3.OverdistendeduterusDevelopoftenasearlyas20to24weeksPolyhydramniosClinicalManifestationsChronichydramniosSymptomisnotobvious,andtheaccumulationof

4、fluidtakesplacegraduallyDevelopoftenasearlyas28to32weeksPolyhydramniosAssistexaminationBultrasound羊水最大暗区垂直深度（AFV）≥8cmmild：811cmmoderate：1215cmsevere：＞15cm羊水指数（AFI）≥25cmmild：2535cmmoderate：3645cmsevere：＞45cmPolyhydramniosAssistexaminationPolyhydramnioskaryotypeana

5、lysisbloodtypeExaminationbloodglucoseexaminationDiagnosisMedicalhistoryClinicalManifestationsAssistexaminationPolyhydramniosMedicalhistoryTreatmentPolyhydramnioswithnormalfetusstoppregnancyandbreaktheFetalmembranePolyhydramnioswithFetalmalformation1.Generalteratment

6、：Bedrest,diuretics,andwaterandsaltrestriction2.Amniocentesis3.IndomethacinTherapy[,ɪndo'mɛθəsɪn]PolyhydramniosOligohydramniosOligohydramnios isaconditionin pregnancy characterizedbyadeficiencyof amnioticfluid.Itistypicallydiagnosedwhentheamnioticfluidislessthan300ml

7、.DefinitionCausesFetalmalformationPlacentahypofunctionPremature rupture of fetal membranesMaternalfactors:Dehydration,hypovolemiaOligohydramniosClinicalManifestationsSymptomisnotobviousSignsSmalluterineheightandabdominal girthHavefeelingsofuterinecontractionLittleam

8、niotic fluidOligohydramniosAssistexaminationBultrasoundMeasurementofamniotic fluidOthers:electronicfetalmonitor(EFM),nostresstest（NST）Olig