Bock J E
Acta Obstet Gynecol Scand Suppl. 1976;53:20-8. doi: 10.3109/00016347609156441.
Intra-uterine transfusion may be a life-saving procedure in severe cases of rhesus isoimmunization. Yet it may be technically difficult and poses a real hazard to the fetus. This material consists of 51 intra-uterine transfusions performed in 34 severe rhesus (anti-D) isoimmunized pregnant women. The selection of patients was based upon an evaluation of the severity of fetal erythroblastosis (past obstetric history, serological and amniotic fluid examinations). The major criterion for selection was the concentration of amniotic fluid bilirubin. The technique employed was based upon a fluoroscopic television control system. The most serious complications were blood-stained amniotic samples in 15% of the amniocenteses and vaginal leaking of amniotic fluid and preterm labour after the performance of the intra-uterine transfusions in 33%.
对于严重的恒河猴血型同种免疫病例，宫内输血可能是一种挽救生命的手术。然而，这在技术上可能很困难，并且对胎儿构成真正的危险。本资料包括对34例严重恒河猴（抗-D）血型同种免疫孕妇进行的51次宫内输血。患者的选择基于对胎儿成红细胞增多症严重程度的评估（既往产科病史、血清学和羊水检查）。选择的主要标准是羊水胆红素浓度。所采用的技术基于荧光透视电视控制系统。最严重的并发症是15%的羊膜穿刺术中羊水样本被血染，以及33%的宫内输血术后羊水经阴道渗漏和早产。
