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B19微小病毒所致胎儿水肿:妊娠18周时宫内输血后预后良好。

B19 parvovirus-induced fetal hydrops:good outcome after intrauterine blood transfusion at 18 weeks of gestation.

作者信息

Bousquet F, Segondy M, Faure J M, Deschamps F, Boulot P

机构信息

Fetal Medicine Unit, Department of Obstetrics and Gynecology, Hôpital A.-de-Villeneuve, Montpellier, France.

出版信息

Fetal Diagn Ther. 2000 May-Jun;15(3):132-3. doi: 10.1159/000020991.

DOI:10.1159/000020991
PMID:10781995
Abstract

We report a successful treatment of a B19 parvovirus-induced fetal hydrops diagnosed at 16 weeks of gestation. This disease could be corrected by means of a unique intraperitoneal blood transfusion performed at 18 weeks, once diagnosis was established. The delivery occurred at 36 weeks, leading to the birth of a healthy baby. This case suggests that transfusion should be attempted, as the spontaneous fetal recovery remains uncertain and shows that intraperitoneal blood transfusion is an effective therapeutic option of the B19 parvovirus-induced anemia, in the absence of a viral myocarditis.

摘要

我们报告了一例在妊娠16周时诊断出的由B19细小病毒引起的胎儿水肿的成功治疗案例。一旦确诊,在18周时通过一次独特的腹腔内输血可纠正此病。分娩于36周时进行,产下一名健康婴儿。该病例表明,由于胎儿自发恢复情况仍不确定,应尝试进行输血,并且表明在没有病毒性心肌炎的情况下,腹腔内输血是治疗B19细小病毒引起的贫血的一种有效治疗选择。

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