태아수종의 원인: 149부검례 분석
Causes of Hydrops Fetalis: Analysis of 149 Autopsy Cases
2
조회
0
다운로드
1
인용
0
참고문헌
초록
Abstract
Background : Hydrops fetalis is defined as abnormal accumulation of serous fluid in two or more fetal compartments, and this malady is known to be associated with various pathologic conditions. Methods : We collected 149 cases of hydrops fetalis out of 2,312 autopsies, and we tried to elaborate the underlying causes of hydrops fetalis. The diagnosis was based on the material from either antenatal termination or intrauterine death. Results : The relative incidence of hydrops fetalis was 6.44% of all the pediatric autopsies we performed. The gestational age was evenly distributed from 18 to 33 weeks, except for 30 to 31 weeks. There was no sex difference in the incidence of hydrops fetalis. The main causes were cardiovascular diseases (30.9%), cystic hygroma (13.4%), chromosomal anomaly (8.05%), thoracic conditions (7.38%), followed by urinary tract malformation (4.03%), infection (4.03%) and anemia (3.36%). The most common chromosomal anomaly was Turner syndrome and the second one was Down syndrome. Conclusion : Since various conditions can be the cause of hydrops fetalis, pathologists should pay attention to elaborate the underlying causes in every single autopsy.
참고문헌 (16)
- "Value of autopsy in nonimmune hydrops fetalis: series of 51 stillborn fetuses", 5, pp.365~374 (2002)
- "literature review of 1", pp.366~90, 414 cases publishedin the 1980s
- "Nonimmune hydrops fetalis: clinical characteristics and prognostic factors of neonatal survival", 45, pp.2196~2202 (2002)
- "Clinical diversitiesand perinatal outcomes of nonimmune hydrops fetalis", 41, pp.1927~1933 (1998)
- "Hydrops fetalis due to parvovirus B19 infection: report of two autopsy cases", 40, pp.245~249 (2006)
- "A case ofrecurrent infantile polycystic kidney associated with hydrops fetalis", pp.95~103 (1989)
- "A case of nonimmune hydropsfetalis with neuroblastoma", 44, pp.171~175 (2001)
- "Congenital cytomegalovirus infection: three autopsy case reports", 15, pp.337~342 (2000)
- "A case of placentalchorioangioma combined with non-immune hydrops Fetalis", 41, pp.2681~2686 (1998)
- "A trisomy 21 neonate withlarge amount of isolated pericardial effusion seen on antenatal sonography", 41, pp.1140~1143 (1998)
- "A case ofKlinefelter syndrome combined with hydrops fetalis", 40, pp.1523~1527 (1997)
- "A case of nonimmunehydrops fetalis associated with Ebstein’s anomaly", 40, pp.902~906 (1997)
- "A case of congenital cystic adenomatoidmalformation of the lung", 52, pp.143~147 (1997)
- "an analysis of 34 autopsy cases", pp.39~44
- "The kidney and lower urinary tract", pp.835~903 (2001), Philadelphia: Lippincott Williams and Wilkins
- "Lymphatic malformation in human fetuses A studyof fetuses with Turner’s syndrome or status Bonnevie-Ullrich", pp.233~46