Marciniak B, Leszczyńska-Gorzelak B, Grzechnik M, Szymula D, Oleszczuk J
Kliniki Połoznictwa i Perinatologii II Katedry Połoznictwa i Chorób Kobiecych AM w Lublinie.
Ginekol Pol. 2000 Nov;71(11):1391-5.
We have reported twin pregnancy complicated by uncommon "twin reversed arterial perfusion" syndrome. Ultrasound scan at 27th week of gestation revealed one normal foetus and the second one "acardiac" with severe malformations. Since the cardiac failure of the first twin was observed, the digitalis were administered till the end of pregnancy. The pregnancy was terminated at 31st week by caesarean section. We succeed in delivering one healthy newborn, which was possible by appropriate management including elective termination, observation (ultrasonography and cardiotocography) and nonsurgical intervention (digitalis).
我们曾报道过双胎妊娠合并罕见的“双胎反向动脉灌注”综合征。妊娠27周时的超声扫描显示一个胎儿正常，另一个为“无心”胎儿，伴有严重畸形。由于观察到第一个胎儿出现心力衰竭，遂给予洋地黄直至妊娠结束。妊娠31周时行剖宫产终止妊娠。我们成功娩出一名健康新生儿，这通过包括选择性终止妊娠、观察（超声检查和胎心监护）及非手术干预（洋地黄）在内的适当处理得以实现。
