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3例不明原因贫血胎儿宫内输血治疗疗效分析 [中文引用][英文引用]

作者(英文): 
单位(英文): 
关键词:胎儿贫血 宫内输血 
关键词(英文): 
分类号:R714.54
出版年·卷·期(页码):2019·11·第3期(6-9)
DOI: 10.13470/j.cnki.cjpd.2019.03.002
-----摘要:-------------------------------------------------------------------------------------------

目的 探讨宫内输血在不明原因贫血胎儿中的应用价值。方法 我们对不明原因出现贫血的3例胎儿进行了对症的宫内输血治疗,监测胎儿大脑中动脉峰值流速(MCA-PSV)、胎儿血红蛋白浓度、红细胞比容等指标,评估宫内输血在不明原因贫血胎儿中的治疗效果。 结果 3例贫血胎儿经过治疗,贫血情况均得到改善,病例1和病例2均顺利妊娠至足月分娩,病例3在术后第3天孕妇突发急性的肝功能、肾功能、凝血功能等多器官异常,于孕33+周早产剖宫产1男婴,新生儿因早产并发症住院治疗1月后出院。3例贫血胎儿随访至出生后1~1.5岁,发育情况与同龄儿相符。 结论 对于不明原因的严重贫血胎儿,若孕妇及家属保留意愿强烈,可考虑行宫内输血对症处理。

-----英文摘要:---------------------------------------------------------------------------------------

Objective To discuss the value of intrauterine blood transfusion in fetuses with unexplained anemia. Methods We applied intrauterine blood transfusion on 3 fetuses with unexplained anemia and monitored the peak velocity of middle cerebral artery (MCA-PSV), fetal hemoglobin concentration, hematocrit and other indicators to evaluate the therapeutic effect. Results 3 cases were improved after the treatments. Case 1 and 2 delivered at term successfully, however, Case 3 suffered from multi-organ abnormalities on the third day after surgery so that the baby was born at 33+ weeks of gestation. The newborn was hospitalized for complications of preterm birth and was discharged after 1 month. Three anemia fetuses were followed up to 1 year or 1.5 year after birth ,whose development was normal. Conclusions For unexplained fetuses with severe anemia, if the parents have a strong willingness to keep, intrauterine blood transfusion should be considered.

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中文著录格式: 熊盈,吴菁,赵馨,何薇,王逾男.3例不明原因贫血胎儿宫内输血治疗疗效分析.中国产前诊断杂志,2019,11(3):6-9.
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