选择性终止后带动脉血栓在双胞胎妊娠中:一个病例报告
Hongyan Liu1,2, Zhaomin Zeng1,2, Hua Liao1,2
1Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu, People's Republic of China.
International journal of women's health
|August 16, 2023
概括
动脉血栓症是一种罕见的妊娠并发症,可能导致不良后果. 这一案例突出了二二双胞胎怀孕的成功管理,导致健康的婴儿.
科学领域:
- 周围生理学 周围生理学
- 产科 产科 产科 产科 产科
- 胎儿医学 胎儿医学
背景情况:
- 动脉血栓症是一种罕见的产科并发症,发生率为0.0025%-0.045%.
- 它与不良的围产期结局有关,产前诊断通常通过超声波进行.
- 目前,对于动脉血栓症没有确立的治疗共识.
研究的目的:
- 在选择性终止后幸存的双胞胎中报告单个动脉血栓的病例.
- 讨论复杂双胞胎怀孕中这种罕见并发症的管理和结果.
主要方法:
- 一个二二双胞胎怀孕的案例报告.
- 选择性终止一个双胞胎由于淋巴囊性瘤在怀孕14周.
- 在怀孕35周的幸存双胞胎中诊断单动脉血栓症.
- 为分娩而进行的紧急剖腹产.
主要成果:
- 一个健康的男婴出生,体重2690克,Apgar分数为10/10.
- 幸存的双胞胎的动脉显示出血栓形成.
- 母亲和婴儿受到密切关注,身体状况良好.
结论:
- 在怀孕期间仔细观察动脉数量和形态是至关重要的.
- 建议根据临床状况对动脉血栓形成个性化管理.
- 在某些特定情况下,可以考虑及时终止怀孕以改善结果.
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