摘要
多胎妊娠多胎之一胎儿死亡(sIUFD),存活胎儿的围产期患病率和死亡率均增加。多数胎儿死亡发生在妊娠早期,诊断主要靠早孕期超声检查提示多个孕囊,随后发现一个或多个孕囊消失。双绒毛膜双胎sIUFD不会有胎儿之间的影响存在,可进行期待治疗。治疗应综合考虑病因、绒毛膜性、一胎死亡时间、母亲疾病等因素,根据母亲和胎儿具体情况作出决定。
Following single intrauterine fetal demise （sIUFD）, the co - twin fetal has high risk of morbidity and mortality. Most losses occur very early in gestation, and are only detected because an initial ultrasound examination shows one or more gestafional sacs that subsequently vanish. Due to sIUFD in dichorionic （DC） twins is not associated with feto - fetal effects, such pregnancies could be managed expectantly. Factors such as etiology, chorionicity, timing of occurrence, maternal disease should be considered in the management of sIUFD.
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
2009年第6期424-427,共4页
Chinese Journal of Practical Gynecology and Obstetrics
关键词
多胎妊娠
胎死宫内
绒毛膜性
multiple pregnancy
intrauterine fetal demise
chorionicity
