The causes and natural history of fetal ascites

The purpose of this study was to examine the natural history and differential diagnosis of ultrasound-detected, isolated fetal ascites. Retrospective review of our patient data base, from 1989 to 1993, revealed 18 patients with fetal ascites diagnosed sonographically. Fetuses presenting with generalized hydrops were excluded. One of the 18 fetuses with ascites had a chromosomal abnormality (trisomy 21), four fetuses had intrauterine infections, seven had gastrointestinal processes, two had genitourinary tract abnormalities, and four were labelled as ‘idiopathic’ (all four resulting in normal neonates). Seventeen of 18 fetuses survived; there was one fetal demise secondary to active syphilis. One fetus with parvovirus infection required intrauterine transfusion and did well. Two infants are developmentally retarded, including one with trisomy 21 and one with microcephaly secondary to cytomegalovirus infection. Fourteen of 18 fetuses had documented in-utero resolution of the ascites. Eleven of the 18 were associated with polyhydramnios sometime during fetal life. None of the fetuses developed hydrops. In conclusion, fetal ascites can result from many different aetiologies, including gastrointestinal and genitourinary anomalies. Chromosomal abnormalities and viral aetiologies must also be considered. Fetuses who have isolated ascites can have a good outcome with resolution of the ascites antenatally.     

Dehydrated hereditary stomatocytosis: a cause of prenatal ascites

Dehydrated hereditary stomatocytosis (DHS) is a rare congenital hemolytic anemia. We observed that some patients had presented with different prenatal or perinatal forms of edema in some kindreds. Within weeks or months after birth, these exhibited a spontaneous, complete and definitive resorption. We assumed that some DHS patients, who were born without edema before ultrasound was available, might nonetheless have exhibited this during the prenatal period. The present report follows up the first pregnancy in a woman with overt DHS, but not herself having a known history of perinatal effusions. Ultrasound revealed that the fetus displayed ascites that disappeared prior to birth. The neonate had DHS. Prenatal edema must therefore be more frequent in DHS than known until now. DHS is another cause of prenatal edema to be considered in the differential diagnosis. Copyright © 2001 John Wiley & Sons, Ltd.     

Fetal ascites and oligohydramnios: Prenatal diagnosis of a sialic acid storage disease (index case)

In a 20-year-old primiparous patient, a routine ultrasound scan performed at 28 weeks revealed fetal ascites, bilateral talipes, and oligohydramnios. This woman, married to possibly her first cousin, was at risk for an autosomal recessive disease, a metabolic disorder. At 29 weeks, an amniotic fluid biochemical study revealed the presence of an abnormal band of free sialic acid, leading to a diagnosis of a congenital form of sialic acid storage disease. Termination of pregnancy was performed at 30 weeks. Measurement of free sialic acid in cultured fetal skin fibroblasts confirmed the diagnosis.     

Prenatal DNA diagnosis of Noonan syndrome in a fetus with massive hygroma colli,pleural effusion and ascites

Prenatal molecular genetic diagnosis for Noonan syndrome I is reported. Noonan syndrome was suspected because of large cystic hygroma colli, massive pleural effusion and ascites at 23 weeks of gestation and normal karyotype (46,XX). DNA was prepared from amnion cells and screened for mutations in the PTPN11 gene. In exon 8, a missense mutation (S285F) was found. Delivery was induced at 33 weeks of gestation because of silent cardiotocography (CTG). Despite immediate drainage of the hydrothorax, mechanical ventilation was insufficient and the child died 9 h after birth due to severe pulmonary hypoplasia. Pleural punctate was enriched for small lymphocytes and thus was characterized as chylus. Prenatal ultrasound findings in Noonan syndrome usually are unspecific and rarely lead to a diagnosis. However, with the combination of cystic hygroma, pleural effusion, ascites and normal karyotype Noonan syndrome should be considered and DNA testing for PTPN11 mutations may be appropriate. Malformations of lymphatic vessels and/or chylothorax in Noonan syndrome seem to be more frequent than usually anticipated. Copyright © 2005 John Wiley & Sons, Ltd.     

多目标规划在预测区域总产值-排污-水质协调解中的应用研究

以某区域水环境－经济系统为研究实例，寻求值－排污－水质综合协调解方法，寻求净收益最大时的总体规划方案。建立目标参数规划模型，寻求不同生产规模条件下的产值－排污－水质协调解，又探讨了水环境标准约束下的某化工区废水治理费用的计算方法，提出了以供决策者选择的方案。     

滇池富营养化特性评价

介绍了滇池水质状况,对滇池富营养化特性进行了分析和评价,并提出了对策.     

国际化学危险品分类体系简介

介绍了当前国际化学危险品的各种分类体系,对比了GHS与TDG、EU_CLP、DOT、WHMIS等对化学危险品的具体分类。有助于GHS的理解与掌握,全面推进GHS在我国的实施。     

土壤整体质量的生态毒性评价

土壤样品采自沈阳西部污灌区 .进行了污染物 (重金属和矿物油 )含量分析和生态毒性试验 .重金属采用原子吸收分光光度仪测定 ,矿物油采用紫外分光光度计测定 .生态毒性试验分别参照国际标准组织 (ISO)和OECD指南 ,进行了植物毒性试验、蚯蚓毒性试验和蚕豆根尖微核试验 .植物试验以小麦种子发芽根伸长抑制率为试验终点 ,试验周期50h ,蚯蚓毒性试验以蚯蚓死亡率、体重增长抑制率为试验终点 ,试验周期28d .土壤中矿物油含量在145mg/kg～1121mg/kg ,重金属Cd为0.34mg/kg～1.81mg/kg .土壤对植物和蚯蚓显示不同程度的毒性效应 ,土壤的蚕豆根尖微核率明显高于对照 .种子发芽根伸长抑制率为2.0%至-35.1% ,蚯蚓死亡率为0%～40%.体重增长抑制率由14d的-2.3%～-19.4%在28d增加到-2.1%～10.7% ,蚕豆根尖微核率最高达6.62/100.研究表明 ,土壤中的污染物积累较低 ,但具有明显的生态毒性 .     

浅析连云港市工业废水处理设施所存在的问题

根据连云港市污染物排放量的比较和污染减排任务的要求,选取COD和NH3-N 2种具有代表性的污染物,详细研究连云港市工业行业的COD和NH3-N产、排量,根据数据测算出所占排放量比重,对比重较大的饮料制造业、食品加工业和化学品原料及化学品制造业的污染治理设施进行了详细调查,发现治理设施大部分为生物接触氧化法等废水生物处理法进行有机物治理.总结了连云港市在工业废水处理设施中存在的问题,提出对策与建议.     

后勤装备防腐涂层加速试验环境谱研究

结合后勤装备服役特点,综合考虑亚热带沿海地区湿热、紫外光照、盐雾等主要腐蚀因素的影响,建立了适用于后勤装备表面涂层的加速试验环境谱,给出了各环境块的具体确定方法,并且提出了建立加速谱与装备实际使用环境的当量加速关系的方法。为后勤装备外露关键部位涂层使用寿命评定、涂层有效性检验和腐蚀修理方案制定提供了重要的依据。     

烟气脱硫副产物的综合利用

通过分析烟气脱硫石膏的性能 ,介绍了脱硫石膏的利用情况和研究进展 ,利用脱硫石膏生产建筑材料 ,如 β石膏和α石膏的工艺日臻成熟 ,利用脱硫石膏生产水泥辅料已进入工业化 ,而利用脱硫石膏生产充填尾砂胶结剂已经完成试验阶段 ,脱硫石膏在农业上也有很广泛的用途。