摘要
胎盘输血可以增加新生儿血容量,无论是对足月儿还是早产儿都有着重要的意义。胎盘输血最常见的三种形式分别是延迟断脐、挤压脐带、改变胎盘—胎儿相对位置。延迟断脐是目前胎盘输血应用最为广泛的措施,可以通过增加新生儿血容量、稳定新生儿血流动力学,进而减少新生儿贫血、改善Apgar评分及新生儿复苏成功率,但同时延迟断脐也有一些潜在的风险。挤压脐带、改变胎盘—胎儿相对位置也是实现胎盘输血的常见方法,可以起到与延迟断脐相似的临床效应,有望成为无法实施延迟断脐的新生儿的替代方法。
Placental transfusion can increase the blood volume of newborns,which is of great significance for both term and premature infants.The three most common forms of placental transfusion are delayed umbilical cord clamping,umbilical cord milking and changing the relative position of placenta and fetus.Delayed umbillical cord clamping is the most widely used measure for placental transfusion at present.It can reduce neonatal anemia,improve Apgar score and neonatal resuscitation success rate by increasing neonatal blood volume and stabilizing neonatal hemodynamics.At the same time,delayed umbilical cord clamping also has some potential risks.Milking the umbilical cord and changing the relative position of placenta and fetus are also common methods to achieve placenta transfusion,which can play a clinical effect similar to delayed umbilical cord clamping,and is expected to become an alternative method for newborns who cannot implement delayed cord clamping.
作者
靳元元
李铭德
刘洋
张建军
JIN Yuan-yuan;LI Ming-de;LIU Yang;ZHANG Jian-jun(Weifang Medical University,Weifang,Shandong 261053,China;不详)
出处
《中国临床研究》
CAS
2022年第4期572-575,580,共5页
Chinese Journal of Clinical Research
基金
潍坊市科技发展计划项目(医学类)(2019YX033)。
关键词
胎盘输血
延迟断脐
挤压脐带
胎盘—胎儿位置
Placental transfusion
Delayed umbillical cord clamping
Umbilical cord milking
Placental-fetal position
