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首页> 外文期刊>Case Reports in Obstetrics and Gynecology >Delayed Appearance of a Traumatic Fetal Intracranial Hemorrhage
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Delayed Appearance of a Traumatic Fetal Intracranial Hemorrhage

机译：创伤性颅内出血的延迟出现

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Background. Fetal intracranial injury is a potentially devastating sequelae of maternal trauma, but there is little guidance regarding fetal evaluation in this setting. Case. A 23-year-old woman at 27-week gestation was admitted after a high-speed motor vehicle accident. The initial obstetrical ultrasound was unremarkable, but persistently minimal fetal heart rate variability was observed. Ultrasound on day 3 after the accident showed an intracranial hyperechogenic lesion and subdural fluid collection. The neonate, following an uneventful birth at 39 weeks, had seizures and abnormal muscle tone. MRI was consistent with in utero intracranial hemorrhage. Conclusion. Serial fetal imaging following maternal trauma, particularly when accompanied by abnormal fetal heart rate tracings, should be considered when fetal injury is a concern, even in the setting of a normal initial ultrasound.
机译：背景。胎儿颅内损伤是母体创伤的潜在毁灭性后遗症，但是在这种情况下，关于胎儿评估的指导很少。案件。发生高速机动车辆事故后，一名怀孕27周的23岁妇女入院。最初的产科超声检查并不显着，但是观察到的胎儿心率持续变化很小。事故发生后第3天的超声检查显示颅内高回声病变和硬膜下积液。新生儿在出生39周后的健康状况良好，出现癫痫发作和异常肌张力。 MRI与子宫内颅内出血一致。结论。当担心胎儿受伤时，即使是在正常的初始超声检查中，也应考虑在产妇受到创伤后进行连续胎儿成像，尤其是在伴有异常胎儿心率描记的情况下。

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