产前无法解释的胎儿贫血的原因和结果
Saja Anabusi1,2, Charles Litwin1, Greg Ryan1,3
1Fetal Medicine Unit, Department of Obstetrics and Gynaecology, Mount Sinai Hospital, Toronto, Canada.
概括
无法解释的胎儿贫血是罕见的,影响4%的病例. 这种情况与严重的结局有关,如血小板缺血和高产周死亡率,需要密切监测.
科学领域:
- 围产儿医学 围产儿医学
- 胎儿血液学 胎儿血液学
- 新生儿科学 新生儿科学
背景情况:
- 尽管有先进的方法,未知病因的胎儿贫血存在诊断挑战.
- 确定不明原因胎儿贫血的发生率和结果对于临床管理至关重要.
研究的目的:
- 为了确定中度至重度胎儿贫血的发病率,没有可识别的原因.
- 评估与无法解释的胎儿贫血相关的围产期结局.
主要方法:
- 追溯性队列研究,对胎儿进行了为贫血 (MCA PSV >1.5 MoM) 取胎儿血液样本 (FBS).
- 纳入标准:中度/重度贫血 (Hgb偏差>20 g/L) 与负贫血工作.
- 数据收集包括产前和产后结果.
主要成果:
- 在376名胎儿中,有15名胎儿 (4%) 呈现出不明原因的中度至重度贫血.
- 相关发现包括非免疫性水 (7例) 和结构异常 (8例).
- 血小板缺血是常见的 (73%),产前死亡率为47%,产后诊断罕见原因有限.
结论:
- 无法解释的胎儿贫血是一种不常见但严重的疾病.
- 新生儿的不良结果需要警的产前和产后监测.
- 进一步的研究可能会阐明罕见的病因,并改善管理策略.
更多相关视频
相关概念视频
Fetal Circulation
2.4K
Fetal circulation is a unique system that facilitates the exchange of gases, nutrients, and waste products between the developing fetus and the mother. This intricate process takes place through a special organ called the placenta.
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
2.4K
Disorders of Erythrocytes
2.0K
Disorders of erythrocytes, or red blood cells (RBCs), include a range of conditions affecting their number, shape, or function.
Erythrocyte disorders can be broadly categorized into two main types: anemic and polycythemic conditions.
A low oxygen-carrying capacity of the blood due to the loss, lower production, or destruction of erythrocytes is termed anemia. Hemorrhagic anemia, for example, occurs when bleeding from an external wound or internal ulcer reduces erythrocyte counts.
On the other...
Erythrocyte disorders can be broadly categorized into two main types: anemic and polycythemic conditions.
A low oxygen-carrying capacity of the blood due to the loss, lower production, or destruction of erythrocytes is termed anemia. Hemorrhagic anemia, for example, occurs when bleeding from an external wound or internal ulcer reduces erythrocyte counts.
On the other...
2.0K
Pathophysiology of Diabetes
3.1K
Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
3.1K
Teratogenicity
3.9K
The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
3.9K
Rh Blood Group
2.7K
The Rhesus (Rh) antigen is crucial in determining blood groups and ensuring compatibility during blood transfusions.
2.7K
Nondisjunction
4.8K
Nondisjunction is the failure of homologous chromosomes or sister chromatids to separate correctly and move to the opposite poles of the cells. This produces daughter cells with abnormal chromosome numbers. Nondisjunction is common during anaphase I or anaphase II of meiosis. Mutations in synaptonemal complex proteins that attach homologous chromosomes increase the chances of nondisjunction in anaphase I of meiosis I. In contrast, mutations in topoisomerases and condensins that hold...
4.8K


