胎儿心音出现收缩期杂音的临床意义报道较少,我们曾遇到数例,现将其中2例报道如下。例1 孕妇26岁,第1胎,妊娠9个月,于1983年1月来我院门诊作产前检查,发现胎心音有粗糙的收缩期杂音。心音图检查(附图,见第103页)示胎心频率142次/分,节律齐整,有低振幅全收缩期杂音,以低频记录较清楚。于分娩时发现婴儿脐带绕颈,听诊心脏无杂音(未作心音图复查)。随访1年余婴儿健康,未发现心杂音。 There are few reports on the clinical significance of systolic murmur in fetal heart sounds. We have encountered several cases, of which 2 cases are reported below. Example 1 pregnant women 26 years old, the first child, 9 months of pregnancy, in January 1983 to our hospital for prenatal care and found that fetal heart sound with rough systolic murmur. Phonocardiogram examination (with photos, see page 103) shows the fetal heart rate 142 beats / min, rhythm neat, low amplitude full systolic murmur to record more clearly at low frequencies. Found in the birth of the baby around the neck cord, auscultation of the heart without noise (not for phonocardiogram review). Follow-up more than 1 year baby health, no heart murmur was found.