Revista Paulista de Pediatria (English Edition)最新文献_第4页

In time: the persistence of congenital syphilis in Brazil – More progress needed! 及时:先天性梅毒在巴西的持久性-需要更多的进展!

Revista Paulista de Pediatria (English Edition)

Pub Date : 2016-09-01 DOI: 10.1016/j.rppede.2016.06.004

Joshua M. Cooper , Ian C. Michelow , Phillip S. Wozniak , Pablo J. Sánchez

引用次数: 28

School environment, sedentary behavior and physical activity in preschool children 学龄前儿童的学校环境、久坐行为和身体活动

Revista Paulista de Pediatria (English Edition)

Pub Date : 2016-09-01 DOI: 10.1016/j.rppede.2016.02.003

Sara Crosatti Barbosa , Diogo Henrique Constantino Coledam , Antonio Stabelini Neto , Rui Gonçalves Marques Elias , Arli Ramos de Oliveira

Objective

To analyze physical activity and sedentary behavior in preschool children during their stay at school and the associated factors.

Methods

370 preschoolers, aged 4–6 years, stratified according to gender, age and school region in the city of Londrina, PR, participated in the study. A questionnaire was applied to principals of preschools to analyze the school infrastructure and environment. Physical activity and sedentary behavior were estimated using accelerometers for five consecutive days during the children's stay at school. The odds ratio (OR) was estimated through binary logistic regression.

Results

At school, regardless of age, preschoolers spend relatively more time in sedentary behaviors (89.6–90.9%), followed by light (4.6–7.6%), moderate (1.3–3.0%) and vigorous (0.5–2.3%) physical activity. The indoor recreation room (OR 0.20, 95%CI 0.05–0.83) and the playground (OR 0.08, 95%CI 0.00–0.80) protect four-year-old schoolchildren from highly sedentary behavior. An inverse association was found between the indoor recreation room and physical activity (OR 0.20, 95%CI 0.00–0.93) in five-year-old children. The indoor recreation room (OR 1.54, 95%CI 1.35–1.77), the playground (OR 2.82, 95%CI 1.14–6.96) and the recess (OR 1.54, 95%CI 1.35–1.77) are factors that increase the chance of six-year-old schoolchildren to be active.

Conclusions

The school infrastructure and environment should be seen as strategies to promote physical activity and reduce sedentary behavior in preschool children.

目的分析学龄前儿童在校期间的身体活动和久坐行为及其影响因素。方法对英国伦敦市370名4-6岁学龄前儿童进行研究，按性别、年龄和学区分层。本研究采用问卷调查的方式对幼儿园校长进行调查，分析学校的基础设施和环境。在孩子上学期间，使用加速度计连续五天评估他们的身体活动和久坐行为。通过二元logistic回归估计比值比(OR)。结果在学校，无论年龄大小，学龄前儿童花在久坐行为上的时间相对较多(89.6-90.9%)，其次是轻度(4.6-7.6%)、中度(1.3-3.0%)和剧烈(0.5-2.3%)的身体活动。室内娱乐室(OR 0.20, 95%CI 0.05-0.83)和操场(OR 0.08, 95%CI 0.00-0.80)保护4岁学龄儿童不受久坐行为的影响。在5岁儿童中，室内娱乐室与身体活动呈负相关(OR 0.20, 95%CI 0.00-0.93)。室内娱乐室(OR 1.54, 95%CI 1.35-1.77)、操场(OR 2.82, 95%CI 1.14-6.96)和课间休息(OR 1.54, 95%CI 1.35-1.77)是增加六岁学童活动机会的因素。结论学校的基础设施和环境应被视为促进学龄前儿童体育活动和减少久坐行为的策略。

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引用次数: 37

Waist circumference as a mediator of biological maturation effect on the motor coordination in children 腰围对儿童运动协调的生物学成熟效应的中介作用

Revista Paulista de Pediatria (English Edition)

Pub Date : 2016-09-01 DOI: 10.1016/j.rppede.2016.02.004

Leonardo G.O. Luz , André Seabra , Cristina Padez , João P. Duarte , Ricardo Rebelo-Gonçalves , João Valente-dos-Santos , Tatiana D.D. Luz , Bruno C.M. Carmo , Manuel Coelho-e-Silva

Objective

The present study aimed to: 1) examine the association of biological maturation effect on performance at a motor coordination battery and 2) to assess whether the association between biological maturation and scores obtained in motor coordination tests is mediated by some anthropometric measurement.

Methods

The convenience sample consisted of 73 male children aged 8 years old. Anthropometric data considered the height, body mass, sitting height, waist circumference, body mass index, fat mass and fat-free mass estimates. Biological maturation was assessed by the percentage of the predicted mature stature. Motor coordination was tested by the Körperkoordinationstest für Kinder. A partial correlation between anthropometric measurements, z-score of maturation and the motor coordination tests were performed, controlling for chronological age. Finally, causal mediation analysis was performed.

Results

Height, body mass, waist circumference and fat mass showed a slight to moderate inverse correlation with motor coordination. Biological maturation was significantly associated with the balance test with backward walking (r=−0.34). Total mediation of the waist circumference was identified in the association between biological maturation and balance test with backward walking (77%).

Conclusions

We identified an association between biological maturation and KTK test performance in male children and also verified that there is mediation of waist circumference. It is recommended that studies be carried out with female individuals and at other age ranges.

目的研究生物成熟效应与运动协调能力的关系，探讨生物成熟效应与运动协调能力的关系是否通过人体测量来调节。方法方便样本为73例8岁男性儿童。人体测量数据考虑了身高、身体质量、坐高、腰围、身体质量指数、脂肪质量和无脂肪质量估计。生物成熟度通过预测成熟身高的百分比来评估。运动协调性由Körperkoordinationstest r Kinder测试。在控制实足年龄的情况下，人体测量值、成熟z分数和运动协调测试之间存在部分相关性。最后进行因果中介分析。结果身高、体质量、腰围、脂肪量与运动协调性呈轻微至中度负相关。生物成熟度与平衡测试与后退行走显著相关(r= - 0.34)。在生物成熟和平衡测试与后退行走之间的关联中，腰围被确定为总中介(77%)。结论我们确定了男性儿童的生理成熟与KTK测试成绩之间的关联，并证实了腰围的中介作用。建议对女性和其他年龄段的人进行研究。

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引用次数: 5

Physical activity and screen time in children and adolescents in a medium size town in the South of Brazil 巴西南部一个中等城镇儿童和青少年的身体活动和屏幕时间

Revista Paulista de Pediatria (English Edition)

Pub Date : 2016-09-01 DOI: 10.1016/j.rppede.2016.01.001

João Paulo de Aguiar Greca , Diego Augusto Santos Silva , Mathias Roberto Loch

Objective

To analyze the associations between sex and age with behaviour related to physical activity practice and sedentary behaviour in children and adolescents.

Methods

A cross-sectional study with 480 (236 boys) subjects enrolled in a public school in the city of Londrina, in the south of Brazil, aged 8–17 years. Measures of physical activity, sports practice and screen times were obtained using the Physical Activity Questionnaire for Older Children. The Mann–Whitney U test was used to compare variables between boys and girls. The Chi squared test was used for categorical analysis and Poisson regression was used to identify prevalence.

Results

Girls (69.6%; PR=1.05 [0.99–1.12]) spent more time with sedentary behaviour than boys (62.2%). Boys (80%; PR=0.95 [0.92–0.98]) were more physically active than girls (91%). Older students aged 13–17 showed a higher prevalence of physical inactivity (91.4%; PR=1.06 [1.02–1.10]) and time spent with sedentary behaviour of ≥2h/day (71.8%; PR=0.91 [0.85–0.97]) when compared to younger peers aged 8–12 (78.7 and 58.5%, respectively).

Conclusions

The prevalence of physical inactivity was higher in girls. Older students spent more screen time in comparison to younger students.

目的分析性别和年龄与儿童和青少年体育锻炼和久坐行为相关行为的关系。方法对巴西南部隆德里纳市一所公立学校的480名(236名)8-17岁男孩进行横断面研究。使用《大龄儿童身体活动问卷》获得身体活动、体育锻炼和屏幕时间的测量结果。曼-惠特尼U检验用于比较男孩和女孩之间的变量。使用卡方检验进行分类分析，使用泊松回归确定患病率。ResultsGirls (69.6%;PR=1.05[0.99-1.12])比男孩(62.2%)有更多的久坐行为。男孩(80%;PR=0.95[0.92-0.98])比女孩(91%)更活跃。年龄较大的13-17岁学生缺乏身体活动的患病率更高(91.4%;PR=1.06[1.02-1.10])，久坐时间≥2小时/天(71.8%;PR=0.91[0.85-0.97])，与8-12岁的同龄人相比(分别为78.7和58.5%)。结论女孩缺乏身体活动的发生率较高。年龄较大的学生比年龄较小的学生花在屏幕上的时间更多。

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引用次数: 10

Prevalence of abdominal obesity in adolescents: association between sociodemographic factors and lifestyle 青少年腹部肥胖的患病率:社会人口因素与生活方式之间的关系

Revista Paulista de Pediatria (English Edition)

Pub Date : 2016-09-01 DOI: 10.1016/j.rppede.2016.01.007

João Antônio Chula Castro, Heloyse Elaine Gimenes Nunes, Diego Augusto Santos Silva

Objective

To estimate the prevalence of abdominal obesity and verify the association with sociodemographic factors (gender, school shift, ethnicity, age, maternal education and economic status) and lifestyle (alcohol consumption, sleep, soft drink consumption, level of physical activity and sedentary behavior) in adolescents in Southern Brazil.

Methods

This was a cross-sectional epidemiological study of 930 adolescents (490 girls) aged 14–19 years, living in the city of São José, SC, Brazil. A self-administered questionnaire was used to collect sociodemographic and lifestyle data. Abdominal obesity was measured through the waist circumference and analyzed according to gender and age. Descriptive statistics (absolute and relative frequency, mean and standard deviation) and binary logistic regression, expressed as Odds Ratios (OR) and 95% confidence interval (95%CI) were employed, with p<0.05 being considered statistically significant; the SPSS 17.0 software was used for the statistical analyses.

Results

The prevalence of abdominal obesity was 10.6% for the total sample (10.5% male, 10.8% female). Adolescents that watched television daily for two or more hours (OR=2.11, 95%CI 1.08–4.13) had a higher chance of having abdominal obesity and adolescents whose mothers had fewer than eight years of schooling (OR=0.56; 95%CI from 0.35 to 0.91) had a lower chance of having abdominal obesity.

Conclusions

Approximately one in 10 adolescents had abdominal obesity; the associated factors were maternal schooling (≥8 years) and television screen time (≥2h/day).

目的评估巴西南部青少年腹部肥胖的患病率，并验证其与社会人口因素(性别、学校转换、种族、年龄、母亲教育程度和经济状况)和生活方式(饮酒、睡眠、软饮料消费、体育活动水平和久坐行为)的关系。方法采用横断面流行病学研究方法，调查了930名14-19岁的青少年(490名女孩)，这些青少年来自巴西南卡罗来纳州的s jossore市。一份自我管理的问卷用于收集社会人口统计和生活方式数据。腹部肥胖通过腰围测量，并根据性别和年龄进行分析。采用描述性统计(绝对频率和相对频率，均值和标准差)和二元逻辑回归，以比值比(OR)和95%置信区间(95% ci)表示，p<0.05认为具有统计学意义;采用SPSS 17.0软件进行统计分析。结果调查对象腹部肥胖患病率为10.6%，其中男性10.5%，女性10.8%。每天看电视2小时或2小时以上的青少年(or =2.11, 95%CI 1.08-4.13)和母亲受教育时间少于8年的青少年(or =0.56;95%可信区间从0.35到0.91)，腹部肥胖的几率较低。结论:大约十分之一的青少年患有腹部肥胖;相关因素为母亲受教育年限(≥8年)和看电视时间(≥2小时/天)。

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引用次数: 31

The impact of varicella vaccination on varicella-related hospitalization rates: global data review 水痘疫苗接种对水痘相关住院率的影响:全球数据回顾

Revista Paulista de Pediatria (English Edition)

Pub Date : 2016-09-01 DOI: 10.1016/j.rppede.2016.03.001

Maki Hirose, Alfredo Elias Gilio, Angela Esposito Ferronato, Selma Lopes Betta Ragazzi

Objective

To describe the impact of varicella vaccination on varicella-related hospitalization rates in countries that implemented universal vaccination against the disease.

Data source

We identified countries that implemented universal vaccination against varicella at the http://apps.who.int/immunization_monitoring/globalsummary/schedules site of the World Health Organization and selected articles in Pubmed describing the changes (pre/post-vaccination) in the varicella-related hospitalization rates in these countries, using the Keywords “varicella”, “vaccination/vaccine” and “children” (or) “hospitalization”. Publications in English published between January 1995 and May 2015 were included.

Data synthesis

24 countries with universal vaccination against varicella and 28 articles describing the impact of the vaccine on varicella-associated hospitalizations rates in seven countries were identified. The US had 81.4%–99.2% reduction in hospitalization rates in children younger than four years, 6–14 years after the onset of universal vaccination (1995), with vaccination coverage of 90%; Uruguay: 94% decrease (children aged 1–4 years) in six years, vaccination coverage of 90%; Canada: 93% decrease (age 1–4 years) in 10 years, coverage of 93%; Germany: 62.4% decrease (age 1–4 years) in 8 years, coverage of 78.2%; Australia: 76.8% decrease (age 1–4 years) in 5 years, coverage of 90%; Spain: 83.5% decrease (age <5 years) in four years, coverage of 77.2% and Italy 69.7%–73.8% decrease (general population), coverage of 60%–95%.

Conclusions

The publications showed variations in the percentage of decrease in varicella-related hospitalization rates after universal vaccination in the assessed countries; the results probably depend on the time since the implementation of universal vaccination, differences in the studied age group, hospital admission criteria, vaccination coverage and strategy, which does not allow direct comparison between data.

目的了解在实施水痘普遍疫苗接种的国家，水痘疫苗接种对水痘相关住院率的影响。数据来源我们在世界卫生组织http://apps.who.int/immunization_monitoring/globalsummary/schedules网站上确定了实施水痘普遍疫苗接种的国家，并在Pubmed中选择了描述这些国家水痘相关住院率变化(接种前/接种后)的文章，使用关键词“水痘”、“疫苗接种/疫苗”和“儿童”(或)“住院”。包括1995年1月至2015年5月期间出版的英文出版物。确定了24个普遍接种水痘疫苗的国家和28篇描述疫苗对7个国家水痘相关住院率影响的文章。美国在普及疫苗接种(1995年)后6-14岁以下儿童的住院率下降了81.4%-99.2%，疫苗接种率达到90%;乌拉圭:六年内减少94%(1-4岁儿童)，疫苗接种率为90%;加拿大:10年内减少93%(1-4岁)，覆盖率93%;德国:8年下降62.4%(1-4岁)，覆盖率78.2%;澳大利亚:5年下降76.8%(1-4岁)，覆盖率90%;西班牙:4年下降83.5%(年龄及5岁)，覆盖率77.2%;意大利下降69.7%-73.8%(一般人群)，覆盖率60%-95%。结论:这些出版物显示，在接受评估的国家中，普遍接种水痘疫苗后水痘相关住院率下降的百分比存在差异;结果可能取决于实施普遍疫苗接种以来的时间、所研究年龄组的差异、住院标准、疫苗接种覆盖率和策略，因此不允许在数据之间进行直接比较。

{"title":"The impact of varicella vaccination on varicella-related hospitalization rates: global data review","authors":"Maki Hirose, Alfredo Elias Gilio, Angela Esposito Ferronato, Selma Lopes Betta Ragazzi","doi":"10.1016/j.rppede.2016.03.001","DOIUrl":"10.1016/j.rppede.2016.03.001","url":null,"abstract":"<div><h3>Objective</h3><p>To describe the impact of varicella vaccination on varicella-related hospitalization rates in countries that implemented universal vaccination against the disease.</p></div><div><h3>Data source</h3><p>We identified countries that implemented universal vaccination against varicella at the <span>http://apps.who.int/immunization_monitoring/globalsummary/schedules</span><svg><path></path></svg> site of the World Health Organization and selected articles in Pubmed describing the changes (pre/post-vaccination) in the varicella-related hospitalization rates in these countries, using the Keywords “varicella”, “vaccination/vaccine” and “children” (or) “hospitalization”. Publications in English published between January 1995 and May 2015 were included.</p></div><div><h3>Data synthesis</h3><p>24 countries with universal vaccination against varicella and 28 articles describing the impact of the vaccine on varicella-associated hospitalizations rates in seven countries were identified. The US had 81.4%–99.2% reduction in hospitalization rates in children younger than four years, 6–14 years after the onset of universal vaccination (1995), with vaccination coverage of 90%; Uruguay: 94% decrease (children aged 1–4 years) in six years, vaccination coverage of 90%; Canada: 93% decrease (age 1–4 years) in 10 years, coverage of 93%; Germany: 62.4% decrease (age 1–4 years) in 8 years, coverage of 78.2%; Australia: 76.8% decrease (age 1–4 years) in 5 years, coverage of 90%; Spain: 83.5% decrease (age <5 years) in four years, coverage of 77.2% and Italy 69.7%–73.8% decrease (general population), coverage of 60%–95%.</p></div><div><h3>Conclusions</h3><p>The publications showed variations in the percentage of decrease in varicella-related hospitalization rates after universal vaccination in the assessed countries; the results probably depend on the time since the implementation of universal vaccination, differences in the studied age group, hospital admission criteria, vaccination coverage and strategy, which does not allow direct comparison between data.</p></div>","PeriodicalId":101120,"journal":{"name":"Revista Paulista de Pediatria (English Edition)","volume":"34 3","pages":"Pages 359-366"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rppede.2016.03.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55273902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

Family relationships with pediatricians: the maternal views 家庭关系与儿科医生:母亲的观点

Revista Paulista de Pediatria (English Edition)

Pub Date : 2016-09-01 DOI: 10.1016/j.rppede.2016.03.015

Simone de Carvalho, José Martins Filho

Objective

To analyze the perception of pediatric guidelines by mothers at the time of consultation in private offices, in order to know how they assimilate, process and use the information received from the pediatricians.

Methods

Data collection was carried out by a questionnaire sent to participants by a total of 200 mothers from a virtual community in social networks participated in the research. The answers were transcribed using the Discourse of the Collective Subject method. The analyses were supported by the research qualitative perspective, from the viewpoint of the social representation theory.

Results

Three categories were obtained through data analysis: (1) assessing the pediatric guidelines, (2) confronting theory and practice and (3) developing a critical view of the pediatric guidelines. These categories have elucidated that the level of knowledge of pediatric issues by mothers and their ability to use them when making decisions about the care of their babies, have a direct association between following or not the pediatric guidelines.

Conclusions

The mother's decision on following the pediatrician's recommendations depends on two main factors: (a) certification of the updated and proven recommendations, according to the official health agencies; (b) support and recognition by the pediatrician of the maternal empowerment during the follow-up process. The mothers’ practice of accessing knowledge through social networks hinders the pediatric monitoring.

目的分析母亲在私人门诊会诊时对儿科指南的理解情况，了解母亲如何吸收、处理和使用儿科医生提供的信息。方法通过向参与研究的200名来自社交网络虚拟社区的母亲发送问卷来收集数据。使用集体主体话语方法转录答案。从社会表征理论的角度，从质性研究的角度来支持这些分析。结果通过数据分析得出三个类别:(1)评估儿科指南;(2)直面理论与实践;(3)形成对儿科指南的批判性观点。这些分类表明，母亲对儿科问题的知识水平以及她们在决定照顾婴儿时使用这些知识的能力，在遵循或不遵循儿科指南之间存在直接关联。结论母亲决定遵循儿科医生的建议取决于两个主要因素:(a)根据官方卫生机构的最新和经过验证的建议的认证;(b)在后续进程中，儿科医生支持和认可产妇赋权。母亲通过社交网络获取知识的做法阻碍了儿科监测。

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引用次数: 3

Triage and risk classification protocols in Pediatric emergency 儿科急诊分诊和风险分类方案

Revista Paulista de Pediatria (English Edition)

Pub Date : 2016-09-01 DOI: 10.1016/j.rppede.2016.06.005

Emílio Carlos Elias Baracat

引用次数: 0

CLARIPED: a new tool for risk classification in pediatric emergencies CLARIPED:儿科急诊风险分类的新工具

Revista Paulista de Pediatria (English Edition)

Pub Date : 2016-09-01 DOI: 10.1016/j.rppede.2016.02.002

Maria Clara de Magalhães-Barbosa , Arnaldo Prata-Barbosa , Antonio José Ledo Alves da Cunha , Cláudia de Souza Lopes

Objective

To present a new pediatric risk classification tool, CLARIPED, and describe its development steps.

Methods

Development steps: (i) first round of discussion among experts, first prototype; (ii) pre-test of reliability, 36 hypothetical cases; (iii) second round of discussion to perform adjustments; (iv) team training; (v) pre-test with patients in real time; (vi) third round of discussion to perform new adjustments; (vii) final pre-test of validity (20% of medical treatments in five days).

Results

CLARIPED features five urgency categories: Red (Emergency), Orange (very urgent), Yellow (urgent), Green (little urgent) and Blue (not urgent). The first classification step includes the measurement of four vital signs (VIPE score); the second step consists in the urgency discrimination assessment. Each step results in assigning a color, selecting the most urgent one for the final classification. Each color corresponds to a maximum waiting time for medical care and referral to the most appropriate physical area for the patient's clinical condition. The interobserver agreement was substantial (kappa=0.79) and the final pre-test, with 82 medical treatments, showed good correlation between the proportion of patients in each urgency category and the number of used resources (p<0.001).

Conclusions

CLARIPED is an objective and easy-to-use tool for simple risk classification, of which pre-tests suggest good reliability and validity. Larger-scale studies on its validity and reliability in different health contexts are ongoing and can contribute to the implementation of a nationwide pediatric risk classification system.

目的介绍一种新的儿童风险分类工具clarped，并描述其发展过程。开发步骤:(i)第一轮专家讨论，第一个原型;(ii)信度预测试，36个假设案例;(三)第二轮讨论进行调整;(四)团队培训;(v)对患者进行实时预测;(六)第三轮讨论进行新的调整;(七)效度最后预测试(5天内治疗的20%)。结果clarped有五个紧急类别:红色(紧急)，橙色(非常紧急)，黄色(紧急)，绿色(不紧急)和蓝色(不紧急)。第一步分类包括四项生命体征(VIPE评分)的测量;第二步是紧急性鉴别评估。每一步的结果是分配一种颜色，选择最紧急的颜色作为最后的分类。每一种颜色对应的最长等待时间为医疗护理和转诊到最适当的物理区域的病人的临床状况。观察者之间的一致是实质性的(kappa=0.79)，最终的预测试，包括82种药物治疗，显示每个紧急类别的患者比例与使用的资源数量之间存在良好的相关性(p<0.001)。结论clarped是一种客观、简便的风险分类工具，预试结果具有良好的信效度。对其在不同健康背景下的有效性和可靠性的大规模研究正在进行中，并有助于实施全国儿科风险分类系统。

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引用次数: 11

Congenital intrahepatic portosystemic shunt diagnosed during intrauterine life 先天性肝内门系统分流诊断在宫内生活

Revista Paulista de Pediatria (English Edition)

Pub Date : 2016-09-01 DOI: 10.1016/j.rppede.2016.03.016

Camila Vieira Bellettini , Rafaela Wagner , Aleocídio Sette Balzanelo , André Luis de Souza Andretta , Arthur Nascimento de Moura , Catia Carolina Fabris , Eduardo Maranhão Gubert

Objective

To report a patient with prenatal diagnosis of portosystemic shunt; a rare condition in humans.

Case description

17-Day-old female infant admitted for investigation of suspected diagnosis of portosystemic shunt, presumed in obstetric ultrasound. The hypothesis was confirmed after abdominal angiography and liver Doppler. Other tests such as echocardiography and electroencephalogram were performed to investigate possible co-morbidities or associated complications, and were normal. We chose conservative shunt treatment, as there were no disease-related complications and this was intrahepatic shunt, which could close spontaneously by the age of 2 years.

Comments

Portosystemic shunt can lead to various complications such as hepatic encephalopathy, hypergalactosemia, liver tumors, and hepatopulmonary syndrome. Most diagnoses are done after one month of age, after such complications occur. The prenatal diagnosis of this patient provided greater security for the clinical picture management, as well as regular monitoring, which allows the anticipation of possible complications and perform interventional procedures when needed.

目的报告1例产前诊断为门静脉系统分流的患者;一种罕见的人类疾病。病例描述:17天大的女婴因产科超声诊断疑似门系统分流而入院调查。经腹部血管造影和肝脏多普勒检查证实了这一假设。其他检查如超声心动图和脑电图进行调查可能的合并症或相关并发症，并正常。我们选择了保守的分流治疗，因为没有疾病相关的并发症，而且这是肝内分流，可以在2岁时自动关闭。运动系统分流可导致各种并发症，如肝性脑病、高半乳糖血症、肝脏肿瘤和肝肺综合征。大多数诊断是在一个月大的时候进行的，在这些并发症发生之后。该患者的产前诊断为临床图像管理和定期监测提供了更大的安全性，从而可以预测可能的并发症并在需要时进行介入治疗。

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引用次数: 4