U tim thai và sơ sinh: Chẩn đoán trước sinh, theo dõi ba trường hợp và phẫu thuật thành công một trường hợp sau sinh tại bệnh viện trung ương Huế

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Tác giả: Bá Minh Du Lê, Lê Thanh Uyên Nguyễn, Hồng Thịnh Tô, Hoài Ân Trần, Quang Lộc Trương

Ngôn ngữ: vie

Ký hiệu phân loại: 612.647 Development of fetus

Thông tin xuất bản: Tạp chí Y học lâm sàng - Bệnh viện Trung ương Huế, 2020

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Bộ sưu tập: Metadata

ID: 494178

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Chẩn đoán trước sinh, theo dõi sau sinh ba trường hợp U tim thai và phẫu thuật thành công sau sinh một trường hợp. Phương pháp: Điều trị và theo dõi sau sinh ba trường hợp U tim thai được chẩn đoán trước sinh bằng siêu âm tim thai, trong đó có một trường hợp được phẫu thuật thành công sau sinh. Kết quả: Ba bào thai được siêu âm tim thai chẩn đoán U tim thai, khả năng là U cơ vân (Rhabdomyoma) với nhiều khối U trên thành tâm thất và trong một hay hai buồng tâm thất, có tuổi thai 28, 27, 38 tuần. Ba trường hợp này được chuyển đến sinh tại Bệnh Viện Trung Ương Huế vào năm 2019, trong đó có 1 trường hợp nghẽn đường ra thất trái được phẫu thuật thành công sau sinh 46 giờ. Một trường hợp có suy tim sau sinh. Diễn tiến cả ba trường hợp thuận lợi, tình trạng suy tim giảm, các khối U tim giảm sau 7 tháng đến 9 tháng theo dõi. Kết luận: Có khả năng chẩn đoán U tim thai trước sinh. Ba trường hợp này có khả năng là U cơ vân do tính chất đa khối U và thoái triển dần sau sinh. Phẫu thuật trẻ sơ sinh được đặt ra khi có yếu tố nguy cơ U tim gây tắc nghẽn.Prenatal diagnosis, postnatal followed up of three cases of cardiac tumor and successful postnatal surgery of one case. Treatment and postnatal followed up of three cases of cardiac tumor. Those cases were diagnosed by fetal echocardiography. One of them underwent a successful postnatal surgery. Results: Three fetuses were diagnosed with fetal cardiac tumor (capable of Rhabdomyoma) at 28, 27, 38 gestational weeks. There were many tumors in one or two ventricles. These cases were referred to Hue Central Hospital for timing and location of delivery in 2019. One of them had obstruction of left ventricular outflow tract with successful surgical resection at 46 hours after birth. One of them had heart failure after birth. Evolution of three cases was favorable, heart failure regressed, cardiac tumors regressed at 7 - 9 months follow up. Conclusions: Fetal cardiac tumor can be diagnosed prenatally. Those three cases were capable of rhabdomyoma due to the presence of multiple tumors and their regression after birth. Neonatal surgical option should be reserved for the risk of cardiac flow obstruction.

1. Đọc trực tuyến

1. Đọc trực tuyến

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