<br/><br/>今天的16周产检,B超出来说脉络丛囊肿,双侧都1*0。6CM,又一次哭!怀孕后每次去医院几乎没有哪次不哭死去的<br>怀个孕心灵越来越脆弱了<br><br>回家一点心思没有网上到处查,看到一比较靠谱感觉可信的回复,转到这儿给有同样问题的姐妹们看看,看是不是这么回事?<br><br>真心不信邪,宝宝要是没缘份不会来,来了就得好好的!<br><br><br><br><br><font color="Teal"><br>===================摘自摆渡知道:<br><br><br> <br/> <br/></font><!--[if gte mso 9]><xml> <br/> <w:WordDocument> <br/> <w:View>Normal</w:View> <br/> <w:Zoom>0</w:Zoom> <br/> <w:PunctuationKerning/> <br/> <w:DrawingGridVerticalSpacing>7.8 磅</w:DrawingGridVerticalSpacing> <br/> <w:DisplayHorizontalDrawingGridEvery>0</w:DisplayHorizontalDrawingGridEvery> <br/> <w:DisplayVerticalDrawingGridEvery>2</w:DisplayVerticalDrawingGridEvery> <br/> <w:ValidateAgainstSchemas/> <br/> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <br/> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <br/> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <br/> <w:Compatibility> <br/> <w:SpaceForUL/> <br/> <w:BalanceSingleByteDoubleByteWidth/> <br/> <w:DoNotLeaveBackslashAlone/> <br/> <w:ULTrailSpace/> <br/> <w:DoNotExpandShiftReturn/> <br/> <w:AdjustLineHeightInTable/> <br/> <w:BreakWrappedTables/> <br/> <w:SnapToGridInCell/> <br/> <w:WrapTextWithPunct/> <br/> <w:UseAsianBreakRules/> <br/> <w:DontGrowAutofit/> <br/> <w:UseFELayout/> <br/> </w:Compatibility> <br/> <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel> <br/> </w:WordDocument> <br/></xml><![endif]--><p class="MsoNormal"><font color="Teal"><span style="font-family:宋体;mso-ascii-font-family:"Times New Roman"; <br/>mso-hansi-font-family:"Times New Roman"">现在简单介绍一下因胎儿侧脑室积液(或小液性暗区)造成脉络丛囊肿的现实意义和影响范围:</span><span lang="EN-US"> <br> <br/><br> <br/>1</span><span style="font-family:宋体;mso-ascii-font-family:"Times New Roman"; <br/>mso-hansi-font-family:"Times New Roman"">、以前人们认为这是小概率事件,但随着彩超技术的发达,和超声波雷达精细度的发展,医学界渐渐认识到,大部分孕妇在中孕期的胎儿多多少少都有侧脑室积液,随着影像技术进一步发展,原有概率肯定会被修正。本人门诊也多次发现这种情况。在</span><span lang="EN-US">2004</span><span style="font-family:宋体;mso-ascii-font-family:"Times New Roman"; <br/>mso-hansi-font-family:"Times New Roman"">年以前超声波技术很少发现这种情况,</span><span lang="EN-US">04</span><span style="font-family:宋体;mso-ascii-font-family:"Times New Roman"; <br/>mso-hansi-font-family:"Times New Roman"">年后随着技术完善和设备大规模更新,看得更加清楚,因此这种情况也就比较常见。所以准妈妈们不要误认为自己是</span><span lang="EN-US">“</span><span style="font-family:宋体;mso-ascii-font-family:"Times New Roman"; <br/>mso-hansi-font-family:"Times New Roman"">异类</span><span lang="EN-US">”</span><span style="font-family:宋体;mso-ascii-font-family:"Times New Roman";mso-hansi-font-family: <br/>"Times New Roman"">或</span><span lang="EN-US">“</span><span style="font-family: <br/>宋体;mso-ascii-font-family:"Times New Roman";mso-hansi-font-family:"Times New Roman"">少数群体</span><span lang="EN-US">”</span><span style="font-family:宋体;mso-ascii-font-family:"Times New Roman"; <br/>mso-hansi-font-family:"Times New Roman"">,实际上并不是这样的。</span><span lang="EN-US"> <br> <br/><br> <br/>2</span><span style="font-family:宋体;mso-ascii-font-family:"Times New Roman"; <br/>mso-hansi-font-family:"Times New Roman"">、很多孕妇没有检测出胎儿侧脑室积液的主要原因无非是:</span><span lang="EN-US">a.</span><span style="font-family:宋体;mso-ascii-font-family:"Times New Roman"; <br/>mso-hansi-font-family:"Times New Roman"">积液小于</span><span lang="EN-US">1</span><span style="font-family:宋体;mso-ascii-font-family: <br/> "Times New Roman";mso-hansi-font-family:"Times New Roman"">毫米</span><span style="font-family:宋体;mso-ascii-font-family:"Times New Roman";mso-hansi-font-family: <br/>"Times New Roman"">,视为正常残存,无报告必要。</span><span lang="EN-US">b.</span><span style="font-family:宋体;mso-ascii-font-family:"Times New Roman";mso-hansi-font-family: <br/>"Times New Roman"">检查期正好赶上积液尚未形成或者积液刚好消退,所以就自认为一直没有,其实是曾经有过的。</span><span lang="EN-US">c.</span><span style="font-family:宋体;mso-ascii-font-family:"Times New Roman"; <br/>mso-hansi-font-family:"Times New Roman"">还有可能是因为各地各医院</span><span lang="EN-US">B</span><span style="font-family:宋体;mso-ascii-font-family:"Times New Roman";mso-hansi-font-family: <br/>"Times New Roman"">超报告制度不同。以前国家有规定侧脑室积液低于</span><span lang="EN-US">1</span><span style="font-family:宋体;mso-ascii-font-family: <br/> "Times New Roman";mso-hansi-font-family:"Times New Roman"">厘米</span><span style="font-family:宋体;mso-ascii-font-family:"Times New Roman";mso-hansi-font-family: <br/>"Times New Roman"">且唐氏筛选无异常,则不在</span><span lang="EN-US">B</span><span style="font-family:宋体;mso-ascii-font-family:"Times New Roman";mso-hansi-font-family: <br/>"Times New Roman"">超报告中打印该项目,因为没有诊断意义。现在各医院为了规避责任,降低了标准,有的医院规定等于大于</span><span lang="EN-US">6</span><span style="font-family:宋体; <br/> mso-ascii-font-family:"Times New Roman";mso-hansi-font-family:"Times New Roman"">毫米</span><span style="font-family:宋体;mso-ascii-font-family:"Times New Roman";mso-hansi-font-family: <br/>"Times New Roman"">就报告,有的规定超过</span><span lang="EN-US">1</span><span style="font-family:宋体;mso-ascii-font-family:"Times New Roman"; <br/> mso-hansi-font-family:"Times New Roman"">毫米</span><span style="font-family:宋体;mso-ascii-font-family:"Times New Roman";mso-hansi-font-family: <br/>"Times New Roman"">就报告。很多医生为了免责,在情况不明的条件下,向患者报告最坏的可能性或者含糊其辞推到上级医院是可以理解的。但各位不要因此就对宝宝没信心,或者心生恐惧。这只是医患之间的博弈,没有病理学原因作支撑,是无意义的。我母亲曾告诉我她从医几十年还未见过真正因胎儿侧脑室积液生出来傻子的,大部分脉络丛囊肿都会消失,只是时间早晚的问题。</span><span lang="EN-US"> <br> <br/><br> <br/>3</span><span style="font-family:宋体;mso-ascii-font-family:"Times New Roman"; <br/>mso-hansi-font-family:"Times New Roman"">、极少数胎儿脉络丛囊肿是因为</span><span lang="EN-US">18</span><span style="font-family:宋体;mso-ascii-font-family:"Times New Roman";mso-hansi-font-family: <br/>"Times New Roman"">染色体变异导致,无任何原因,几乎不是污染和辐射造成,所以很多准妈妈怀疑自己遭受了污染和辐射才导致胎儿脉络丛囊肿是非常可笑的,这只是个运气问题,不是外界原因造成的。另唐氏筛选主要是查</span><span lang="EN-US">21</span><span style="font-family:宋体;mso-ascii-font-family:"Times New Roman"; <br/>mso-hansi-font-family:"Times New Roman"">染色体变异问题,并不能证明</span><span lang="EN-US">18</span><span style="font-family:宋体;mso-ascii-font-family:"Times New Roman";mso-hansi-font-family: <br/>"Times New Roman"">染色体有无问题。唐氏筛选是中孕期常规检查,即使没有脉络丛囊肿也要做的规定项目。</span><span lang="EN-US"> <br> <br/><br> <br/>4</span><span style="font-family:宋体;mso-ascii-font-family:"Times New Roman"; <br/>mso-hansi-font-family:"Times New Roman"">、大部分单纯的脉络丛囊肿(或小液性暗区)并不牵扯染色体变异问题,我母亲对此做过专门统计研究,主要形成原因是因为胎儿脑原基发育过程中脑脊液产生的速度高于脑中导水管发育速度。换句话说,也就是脑脊液的产生快于脑中导水管系统的形成,造成一定程度的脑脊液循环不畅或阻塞。理论上</span><span lang="EN-US">95%</span><span style="font-family:宋体;mso-ascii-font-family:"Times New Roman"; <br/>mso-hansi-font-family:"Times New Roman"">,现实中</span><span lang="EN-US">100%</span><span style="font-family:宋体;mso-ascii-font-family:"Times New Roman";mso-hansi-font-family: <br/>"Times New Roman"">的胎儿都会在</span><span lang="EN-US">26</span><span style="font-family:宋体;mso-ascii-font-family:"Times New Roman";mso-hansi-font-family: <br/>"Times New Roman"">周左右形成脑中导水管系统,因此排水系统一旦形成,循环问题随即解决,积液会渐渐消失。因此,大部分积液不是说被吸收,而是重新回归正常的循环系统,这一点要清楚。</span><span lang="EN-US"> <br> <br/><br> <br/>5</span><span style="font-family:宋体;mso-ascii-font-family:"Times New Roman"; <br/>mso-hansi-font-family:"Times New Roman"">、即使有些积液在整个孕期都存在,只要不造成胎儿脑中缝偏移和颅室压力性被迫外扩,都是不成问题的,生下来也未见什么异常。我曾跟踪过</span><span lang="EN-US">2</span><span style="font-family:宋体;mso-ascii-font-family:"Times New Roman"; <br/>mso-hansi-font-family:"Times New Roman"">位这样的孩子,在</span><span lang="EN-US">9</span><span style="font-family:宋体;mso-ascii-font-family:"Times New Roman";mso-hansi-font-family: <br/>"Times New Roman"">个月做婴儿智力鉴定时并未发现有迟缓现象。原则上讲顺产,通过阴道挤压会排出一部分积液,但如果未排完,在婴儿</span><span lang="EN-US">3</span><span style="font-family:宋体;mso-ascii-font-family:"Times New Roman"; <br/>mso-hansi-font-family:"Times New Roman"">周岁前也会渐渐吸收。</span><span lang="EN-US"> <br> <br/><br> <br/>6</span><span style="font-family:宋体;mso-ascii-font-family:"Times New Roman"; <br/>mso-hansi-font-family:"Times New Roman"">、很多医生不负责任的吓唬孕妇,这是医德问题。我母亲非常反感这类医生。经常教育我,医生本着</span><span lang="EN-US">“</span><span style="font-family:宋体;mso-ascii-font-family:"Times New Roman"; <br/>mso-hansi-font-family:"Times New Roman"">悬壶济世、救死扶伤</span><span lang="EN-US">”</span><span style="font-family:宋体;mso-ascii-font-family:"Times New Roman";mso-hansi-font-family: <br/>"Times New Roman"">的精神应该凭借医术,在可以控制的范围为每位孕妈妈做负责任的诊断,毕竟牵扯一条生命的留存。在诊断期间即使有所疑问也要耐心细致解答,不要推卸责任,更不要恐吓患者,心地要善良,要安慰孕妈妈,帮助其渡过难关。另:个别</span><span lang="EN-US">B</span><span style="font-family:宋体;mso-ascii-font-family:"Times New Roman"; <br/>mso-hansi-font-family:"Times New Roman"">超操作人员水平不一致,也是造成我们误诊的一个重要原因,建议在各地最高级别妇幼保健院检查,较为可信。能去市级不去县级,能去省级不去市级,依条件自行选择。我门诊多次见到孕妈妈哭着求我作出鉴定,甚至还有跪着求我保住孩子的,完全是一副被吓坏的样子,也不知道以前的医生跟他们说了些什么,能把人吓成这个样子,实在是很不负责任!人家怀胎这么辛苦,遇到问题来求助,怎么能随便乱说话?!</span><span lang="EN-US"> <br> <br/><br> <br/>7</span><span style="font-family:宋体;mso-ascii-font-family:"Times New Roman"; <br/>mso-hansi-font-family:"Times New Roman"">、发现胎儿脉络丛囊肿后不要惊慌,孕妈妈要保持好心态,理论上讲哭一两次对于胎儿的成长有进步意义。丈夫要尽职尽责,尽量开导舒缓孕妇紧张情绪,把心放宽。耐心等待和补充营养是比较现实的做法,建议在</span><span lang="EN-US">15</span><span style="font-family:宋体;mso-ascii-font-family:"Times New Roman"; <br/>mso-hansi-font-family:"Times New Roman"">周左右检查出来的,可以让孕妇服用福施福或继续补充叶酸一个月,鼓励孕妇多吃新鲜鱼肉(尤其是鱼肚部分),每周适当吃两次大杏仁(每次不宜过多),不要吃鸡蛋,可以喝纯牛奶,有条件的多花点钱在大医院买正规的</span><span lang="EN-US">DHA</span><span style="font-family:宋体;mso-ascii-font-family:"Times New Roman"; <br/>mso-hansi-font-family:"Times New Roman"">补品间隔一天服用。饮水不宜过多,因为我们在诊断中发现大部分脉络丛囊肿都伴随着羊水轻微过多。</span><span lang="EN-US"> <br> <br/><br> <br/>8</span><span style="font-family:宋体;mso-ascii-font-family:"Times New Roman"; <br/>mso-hansi-font-family:"Times New Roman"">、记住,不要盲目紧张,或胡乱上一些具有风险性的检查项目,完全没必要。目前医学界认为一侧囊肿和双侧囊肿是没有本质区别的,关键在于大小。因此大部分双侧囊肿的不要杞人忧天。在胎儿发育期间出现脉络丛囊肿是个正常现象,可以肯定的说不会影响将来孩子的智力水平,从某种范围来讲及时出生的胎儿有轻微脑积水,也不会对智力构成影响,在</span><span lang="EN-US">6</span><span style="font-family:宋体;mso-ascii-font-family:"Times New Roman"; <br/>mso-hansi-font-family:"Times New Roman"">岁以前都是可以调节的。</span><span lang="EN-US"> <br> <br/><br> <br/>9</span><span style="font-family:宋体;mso-ascii-font-family:"Times New Roman"; <br/>mso-hansi-font-family:"Times New Roman"">、有流产经历或上次怀孕出现过类似情况的,需严格按照主任医生的要求,按步骤按规矩做相关检查,有些项目可能丈夫也要做。</span></font></p><font color="Teal"> <br/> <br/><br><br><br>=============================以上。<br></font><br><br><br>早上刚拿B超单的时候我边哭边连引产的思想准备都做好了,现在平静了很多,等着老公回来一起找产科的朋友商量,希望如网上所说可以一切顺利。<br><br><br><br><br><br><br><br><br><br><!--[if gte mso 9]><xml> <br/> <w:LatentStyles DefLockedState="false" LatentStyleCount="156"> <br/> </w:LatentStyles> <br/></xml><![endif]--><!--[if !mso]><object <br/> classid="clsid:38481807-CA0E-42D2-BF39-B33AF135CC4D" id=ieooui></object> <br/><style> <br/>st1\:*{behavior:url(#ieooui) } <br/></style> <br/><![endif]--><!--[if gte mso 10]> <br/><style> <br/> /* Style Definitions */ <br/> table.MsoNormalTable <br/> {mso-style-name:普通表格; 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