9789740331865

596 views

Published on

Published in: Education
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
596
On SlideShare
0
From Embeds
0
Number of Embeds
1
Actions
Shares
0
Downloads
4
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

9789740331865

  1. 1. 1 (hydrops fetalis) F F ˈ F F F F F F F (subcutaneous edema) F (pleural effusion) F (pericardial effusion) F F (ascites) ( 1.1 1.2) 2 F F F F F F F F F hydrops fetalis F F 1 F F ˈ F F F F F F ˈ F F F ˈ F 1 F F F F ˈ hydrops fetalis F isolated ascites isolated hydrothorax [1] hydrops fetalis F F F F ascites F F . . 2435 John W. Ballantyne F F ˈ [2] F hydrops fetalis F F F ˈ F F F
  2. 2. 2 (Pathology of Hydrops Fetalis) F Rh (materno-fetal rhesus incompatibility) F F F F F F . . 2486 Edith L. Potter F F (perinatal pathology) [3] F F ˁ hydrops fetalis F F F ˈ F American Journal of Obstetrics and Gynecology [4] Potter F universal edema F hydrops fetalis F ˈ 2 F F ˆ F F F (immune hydrops) F F F F (non-immune hydrops) F F F immune hydrops materno-fetal rhesus incompatibility F ˆ F Rh F F F F anti-Rh antibody (anti-D immunoglobulin) ˂ F immune hydrops F F F Kell, MNS Duffy F non-immune hydrops F F F F F F F F F F F F F F F F hydrops fetalis F F (polyhydramnios) (umbilical cord edema) F (placentomegaly) F preeclampsia [1] mirror syndrome Mirror syndrome ˈ F F F F F ˁ hydrops fetalis Ballantyne F F F F F Ballantyne syndrome F F F pseudotoxemia, maternal hydrops syndrome, pregnancy toxemia, acute second trimester gestosis triple edema F preeclampsia mirror syndrome ˈ F FF F bleb F F F hyperactive reflex ˈ ˈ mirror syndrome F F F F F hemodilution F preeclampsia hemoconcentration
  3. 3. 1 A B C 1.1 3 D hydrops fetalis F subcutaneous edema (A), pleural effusion (B), pericardial effusion (C) ascites (D) F hemodilution ˈ atrial natriuretic factor F F F F F [5, 6] hydrops fetalis ˈ F F F F vasopression F F F F F F F F F F congenital pulmonary airway malformation F F F heart block teratoma F F twin-to-twin transfusion syndrome [1] F hydrops fetalis F FF F
  4. 4. 4 (Pathology of Hydrops Fetalis) F F F ˁ F F F F hydrops fetalis F (idiopathic hydrops fetalis) F F 30-60 F . . 2510-2520 [7, 8] F 10-20 F F . . 2530 ˈ F F ˆ F F [9-11] F non-immune hydrops F F F F F F hydrops fetalis F F F F . . 2544-2553 10 ʾ F idiopathic hydrops F F 11.5 F 88.5 ˈ non-immune hydrops F immune hydrops [10] A C 1.2 B D hydrops fetalis F scalp edema (A), bilateral pleural effusion (B), pericardial effusion (C) ascites (D)
  5. 5. 5 1 F 1 : 3,750 F F F F hydrops fetalis F F F 1 : 500 F F F hydrops fetalis F F F F F ˈ aneuploidy [12] F F ˈ F FF F hydrops fetalis F 1 : 1,500 ˈ F F F F F F F F F F F ˁ F F F F F [14] syndrome F F F F F F ˈ hydrops fetalis F 37 FF FF 55-98 F F 27 52 F F ˈ F F F F F F ˈ F F F ˈ F F F F F ˁ hydrops fetalis F F F 23 F F F [13] F F F F F F hydrops fetalis F ˈ F ˈ F F [10] 16 ˆ F F ˆ hydrops fetalis F F ˈ F F F F F pleural effusion F F hydrops fetalis F idiopathic hydrops F F F F F F ˆ ˈ F F F F [15-17]
  6. 6. 6 (Pathology of Hydrops Fetalis) F 1. Machin GA. Hydrops, cystic hygroma, hydrothorax, pericardial effusions, and fetal ascites. In Gilbert-Barness E (ed.), Potter s Pathology of the fetus, infant and child. 2 Edition. Philadephia: Elsevier 2007; 333-354. 2. Dunn PM. Dr John Ballantyne (1861-1923): perinatologist extraordinary of Edinburgh. Arch Dis Child 1993; 68: 66-67. 3. Dunn PM. Dr Edith Potter (1901 1993) of Chicago: pioneer in perinatal pathology. Arch Dis Child Fetal Neonatal Ed 2007; 92: F419-420. 4. Potter EL. Universal edema of the fetus unassociated with erythroblastosis. Am J Obstet Gynecol 1943; 46: 130-134. 5. Braun T, Brauer M, Fuchs I, et al. Mirror syndrome: a systematic review of fetal associated conditions, maternal presentation and perinatal outcome. Fetal Diagn Ther 2010; 27: 191-203. 6. Lobato G, Nakamura-Pereira M. Reversion of the Ballantyne syndrome despite fetal hydrops persistence. Fetal Diagn Ther 2008; 24: 474-477. 7. Mostoufi-Zadeh M, Weiss LM, Driscoll SG. Nonimmune hydrops fetalis: a challenge in perinatal pathology. Hum Pathol 1985; 16: 785-789. 8. Moerman P, Fryns JP, Goddeeris P, Lauweryns JM. Nonimmunologic hydrops fetalis. A study of ten cases. Arch Pathol Lab Med 1982; 106: 635-640. 9. Rodriguez MM, Chaves F, Romaguera RL, et al. Value of autopsy in nonimmune hydrops fetalis: series of 51 stillborn fetuses. Pediatr Dev Pathol 2002; 5: 365-374. 10. Taweevisit M, Thorner PS. Hydrops fetalis in the stillborn: a series from the central region of Thailand. Pediatr Dev Pathol 2010; 13: 369-374. 11. Boyd PA, Keeling JW. Fetal hydrops. J Med Genet 1992; 29: 91-97. 12. Mascaretti RS, Falcao MC, Silva AM, et al. Characterization of newborns with nonimmune hydrops fetalis admitted to a neonatal intensive care unit. Rev Hosp Clin Fac Med Sao Paulo 2003; 58: 125-132.
  7. 7. 1 7 13. Lallemand AV, Doco-Fenzy M, Gaillard DA. Investigation of nonimmune hydrops fetalis: multidisciplinary studies are necessary for diagnosis review of 94 cases. Pediatr Dev Pathol 1999; 2: 432-439. 14. Abrams ME, Meredith KS, Kinnard P, Clark RH. Hydrops fetalis: a retrospective review of cases reported to a large national database and identification of risk factors associated with death. Pediatrics 2007; 120: 84-89. 15. Fukushima K, Morokuma S, Fujita Y et al. Short-term and long-term outcomes of 214 cases of non-immune hydrops fetalis. Early Hum Dev 2011; 87: 571-575. 16. Santo S, Mansour S, Thilaganathan B et al. Prenatal diagnosis of non-immune hydrops fetalis: what do we tell the parents? Prenat Diagn 2011; 31: 186-195. 17. Castillo RA, Devoe LD, Hadi HA et al. Nonimmune hydrops fetalis: clinical experience and factors related to a poor outcome. Am J Obstet Gynecol 1986; 155: 812-816.

×