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胸骨裂综合征是先天性疾病,从轻微胸骨缺损到伴有多种畸形的严重胸骨裂。最严重表现为异位心脏,即心脏及心包膜均暴露在胸腔外,心脏内部常有畸形,本文报道1例在分娩前用超声显象诊断出具有严重异位心畸形的胎儿。一孕妇30岁,孕2,产0-0-1-0,妊娠29周时因早产入某医院。孕期无毒血症、发热、服药或先天畸形家族遗传史。入院后有规律宫缩,未破水,静脉滴注酒精,抑制宫缩未成功而来作者医院。入院后体检,宫底高30cm,有胎心、胎位为臀先露,估计重1,500g。
Sternal fissure syndrome is a congenital disease, from a minor sternal defect to a severe sternal fissure with multiple deformities. The most serious manifestation of the ectopic heart, that is, the heart and pericardium are exposed outside the chest, the heart often deformity, reported in this paper, 1 case before delivery with sonographic diagnosis of severe ectopic fetal malformations. A pregnant woman 30 years old, pregnant 2, producing 0-0-1-0, 29 weeks of pregnancy because of premature birth into a hospital. Pregnancy without toxemia, fever, medication or congenital malformations family history. After admission, regular contractions, not broken water, intravenous infusion of alcohol, inhibition of contractions did not succeed from the author hospital. After admission, physical examination, 30cm high at the end of the palace, a fetal heart, fetal position for the buttocks exposed, it is estimated weight 1,500g.