非免疫性胎儿水肿临床分析

发布时间：2018-04-10 10:51

本文选题：非免疫性胎儿水肿+胎儿水肿综合征　；参考：《现代妇产科进展》2017年08期

【摘要】：目的:探讨非免疫性胎儿水肿的特点、临床处理及预后。方法:回顾分析2010年7月至2015年6月就诊于南京医科大学第一附属医院产科的20例胎儿水肿孕妇资料、胎儿情况及新生儿情况。结果:20例胎儿水肿均为非免疫性胎儿水肿。发现时间:妊娠14+~37+周;早孕发现2例,中孕发现4例,晚孕发现14例。有胸腔积液表现17例,腹水表现9例,皮肤水肿表现11例,羊水过多9例;脐动脉舒张期血流缺失3例,超声发现胎儿畸形4例。胎儿水肿综合征12例:7例流产、引产;其余为死胎、死产、新生儿死亡;不典型胎儿水肿8例:2例新生儿死亡,2例失访,4例预后良好。结论:部分非免疫性胎儿水肿的确切原因不明确;临床表现多样,胎儿水肿综合征预后不良,孕产妇对胎儿期望值各不相同,需针对不同情况,采取不同的监测、分娩、救治措施。
[Abstract]:Objective: to investigate the characteristics, clinical management and prognosis of non-immune fetal edema.Methods: from July 2010 to June 2015, 20 cases of fetal edema in obstetrics department of the first affiliated Hospital of Nanjing Medical University were retrospectively analyzed.Results 20 cases of fetal edema were non-immune fetal edema.The discovery time was 14 weeks, 2 cases were found in early pregnancy, 4 cases were found in middle pregnancy and 14 cases were found in late pregnancy.Pleural effusion was found in 17 cases, ascites in 9 cases, skin edema in 11 cases, amniotic fluid in 9 cases, umbilical artery diastolic blood flow deficiency in 3 cases, fetal malformation in 4 cases.Fetal edema syndrome was found in 12 cases (7 miscarriages, induced labor), stillbirth, stillbirth, neonatal death, atypical fetal edema (8: 2) and neonatal death (2 cases).Conclusion: the exact causes of partial non-immune fetal edema are not clear, the clinical manifestations are diverse, the prognosis of fetal edema syndrome is poor, and the expectant value of pregnant and parturient is different, so we should take different monitoring and delivery according to different conditions.Treatment measures
【作者单位】：南京医科大学第一附属医院产科;
【基金】：国家自然科学基金(No:81270700)
【分类号】：R714.5

【相似文献】