胎儿心脏病母胎医学多学科诊疗及精准一体化防治医疗模式和技术流程共识之一:胎儿心脏病预后分级及围产期风险评估

Consensus on the medical model and technical process of multidisciplinary diagnosis and treatment and precision integrated prevention and management of fetal heart disease in maternal-fetal medicine(Part I):Expert consensus on prognosis grading and perinatal risk assessment of fetal heart disease

随着产前诊断水平的提高和普及,对于“胎儿心脏病患者”急需给予一个合理的建议和管理,旨在让胎儿获得最合理的治疗和干预,同时减少家庭的恐慌。本共识首先基于预后将胎儿心脏病进行综合分类,提供胎儿心脏病预后的整体概貌,进而根据胎儿心脏病结构畸形的手术难易程度和术后生存质量进行半定量分级,同时针对其围产期血流动力学的稳定性进行危险分度并建议出生医疗机构的级别。本共识将为从事胎儿心脏病产前诊断及新生儿救治等的医生对于胎儿心脏病的预后咨询和围产期管理提供合理建议。

With the development and improvement of prenatal diagnosis technology,the optimal management strategy for fetuses with heart disease has become an urgent issue,so as to improve the prognosis and reduce the anxiety of the family.This consensus includes the classification of fetal heart disease based on prognosis to give a prognostic profile,semi-quantitative grading of each structural malformation of fetal heart disease according to the difficulties in surgery and postoperative quality of life,and risk-stratification based on the perinatal hemodynamic stability to provide recommendations on birth facilities,with an effort to put forward optimal suggestions for the prognostic consultation and perinatal management of this disease.