妇产小儿心脏外科联合讨论会.pptVIP

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2019-10-17 发布于湖北
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妇产小儿心脏外科联合讨论会.ppt

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婦產.小兒.心臟外科.聯合討論會 May, 25, 2007 婦產.小兒.心臟外科.聯合討論會報告：黃本湘醫師指導：洪正修主任 General data Age: 31 year-old, G2 P0 AA1 L.M.P.: 2006-06-20 E.D.C.: 2007-03-28 Prenatal condition: referred from LMD of preg. 24 weeks Pre-pregnancy body weight: 54kg Menarche: 13 years-old Menstrual D/I: 3-4/28-30 days, dysmenorrhea (-) Oral pills or IUD: denied BMI: 20.1 General data General data Marital status: married Previous pregnancy history No.1, 27 y/o, AA 5 weeks Personal history Systemic disease: denied Surgery history: fibrocyst, right breast s/p operation in 1993 Smoking / Alcoholism: denied Allergy: denied General data Family history Father is a victim of HBV carrier with liver Cirrhosis Traveling history in recent half year Italia and Singapore Clinical course The prenatal condition was followed up at LMD till pregnancy 24 weeks while fetal cardiac anomaly was noted. 2006-12-07: visited CV OPD Dr. Jiang 2006-12-11: referred to OBS OPD Chief Hong. Clinical course Survey for GDM: 50 gm OGT: 174 gm/dl 100 gm OGT: 75/164/140/124 gm/dl HbA1c: 4.5 VDRL: negative Rubella IgG: positive Clinical course The amniocentesis on 2006-12-11 - chromosome karyotypes:46,XY,9qh+ with normal variant The sonography on 2006-12-15: singleton, AGA, male, internal os: 13mm, polyhydramnios(126 x 70mm), r/o TGA and TV defect Hospital course The patient was ever admitted for tocolysis and antibiotics treatment due to preterm contraction and urinary tract infection (urine routine: pyuria: 2+) from 2006-12-15 to 2007-01-02. The sonographic studying (with color doppler) on 2007-02-01, 2007-03-01, and 2007-03-08 showed AGA, with normal flow pattern, r/o TGA and TV defect. The sonographic studying (with color doppler) on 2007-03-15 sho