镜像综合征的孕期管理

发布时间：2018-05-08 20:18

本文选题：镜像综合征 + 孕期管理　；参考：《广东医学》2017年18期

【摘要】：目的通过分析镜像综合征的病因、临床特点、防治及妊娠结局,探讨其孕期管理。方法回顾性分析收治的16例镜像综合征患者临床资料。结果 (1)胎儿水肿的原因:14例为Hb Bart's胎儿水肿综合征,1例胎儿轻型α地中海贫血致胎儿贫血,1例胎儿肛门闭锁;(2)最常见的母体症状是母体水肿(100.0%),其次是稀释性贫血(93.8%)、低蛋白血症(93.8%)、蛋白尿(68.8%)、高血压(31.3%)、胸腔积液(18.8%)、肌酐升高(18.8%)、肝酶升高(18.8%)、腹腔积液(6.3%)、心包积液(6.3%),1例患者出现溶血尿毒症综合征及弥散性血管内凝血,转入MICU;(3)所有患者均痊愈出院;围生儿均死亡,其中1例胎儿贫血,建议宫内输血治疗,但是患者坚决放弃此次妊娠。结论镜像综合征可能严重威胁母胎预后,确诊镜像综合征后,应查找和纠正胎儿水肿的原因,如果不能找到或无法纠正胎儿水肿的原因,或在纠正胎儿水肿原因时母胎病情恶化,应及时终止妊娠。
[Abstract]:Objective to analyze the etiology, clinical features, prevention and treatment and pregnancy outcome of mirror syndrome. Methods the clinical data of 16 cases of mirror syndrome were retrospectively analyzed. Results 1) the cause of fetal edema: 14 cases were HB Bart's fetal edema syndrome 1 case of fetal anemia caused by fetal mild 伪 thalassemia and 1 case of fetal anus atresia 2) the most common maternal symptom was maternal edema 100.0%, followed by dilute anemia. Blood 93.8m, hypoproteinemia 93.8m, proteinuria 68.8g, hypertension 31.3a, pleural effusion 18.8am, creatinine 18.8m, liver enzyme 18.8am, peritoneal effusion 6.30.pericardial effusion 6.33A, hemolytic uremia syndrome and disseminated intravascular coagulation, pericardial effusion 6.33a, hemolytic uremia syndrome and disseminated intravascular coagulation. All the patients were cured and discharged, and the perinatal infants died. One of the cases with fetal anemia was recommended for intrauterine blood transfusion, but the patient gave up the pregnancy resolutely. Conclusion Mirror syndrome may seriously threaten the prognosis of mother and fetus. After the diagnosis of mirror syndrome, the cause of fetal edema should be found and corrected, if the cause of fetal edema can not be found or can not be corrected. Or in correcting the cause of fetal edema when the maternal-fetal condition deteriorated, should be timely termination of pregnancy.
【作者单位】：广东省妇幼保健院产科;
【分类号】：R714.5

【相似文献】