超声诊断胎儿下腔静脉离断伴半奇静脉异位连接合并内脏反位1例

发布时间：2018-04-09 14:17

本文选题：半奇静脉　切入点：内脏反位　出处：《中国超声医学杂志》2017年09期

【摘要】：正孕妇27岁,妊娠9个余月,夫妻双方既往体健,首次妊娠,来我院产检。超声表现:宫内见一个胎儿,双顶径9.5cm,头围34.1cm,腹围34.9cm,股骨径7.4cm,胎盘底前壁厚3.3cm,羊水指数11.5cm,胎心率149次/min。脐动脉S/D 2.5,RI0.6。胎儿四腔心切面未见明显异常,心尖指向左,胎儿腹部横切面显示胃泡位于腹腔右侧,肝脏大部分位于腹腔左侧,胆囊位于胃泡与脐静脉之间。胎儿下腔静脉未探及,肝静脉直接汇入右心房,腹主动脉左后方见扩张的半奇静脉,位于左侧的半奇静脉自腹腔
[Abstract]:Pregnant woman 27 years old, more than 9 months gestation, husband and wife health, the first pregnancy, come to our hospital.Ultrasound findings: a fetus with a biparietal diameter of 9.5 cm, head circumference of 34.1cm, abdominal circumference of 34.9cm, femoral diameter of 7.4cm, placental fundus anterior wall thickness of 3.3cm, amniotic fluid index of 11.5cm, fetal heart rate 149 beats / min.Umbilical artery S / D 2.5N RI0.6.There was no obvious abnormality in the four cavities of the fetus, the apex pointed to the left, the transverse section of the abdomen showed that the stomach bubble was located on the right side of the abdominal cavity, the liver was mostly on the left side of the abdominal cavity, and the gallbladder was between the stomach bubble and the umbilical vein.The fetal inferior vena cava is not explored, the hepatic vein flows directly into the right atrium, the dilated hemiazygos vein is seen at the left rear of the abdominal aorta, and the half azygos vein on the left side is found from the abdominal cavity
【作者单位】：昆山市第一人民医院超声科;
【分类号】：R445.1;R714.5

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