脐带脱垂超过三天后的胎儿存活。一例病例报告。
Fetal survival after umbilical cord prolapse for more than three days. A case report.
作者信息
Poetker D M, Rijhsinghani A
机构信息
Department of Obstetrics and Gynecology, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, IA 52242-1080, USA.
出版信息
J Reprod Med. 2001 Aug;46(8):776-8.
BACKGROUND
Umbilical cord prolapse is an uncommon obstetric emergency.
CASE
A 28-year-old woman, gravida 1, para 0, presented at 23 2/7 weeks' gestation with vaginal leakage of fluid. She was diagnosed with umbilical cord prolapse. Due to the fetus's extreme prematurity, she was managed expectantly. On hospital day 4, we documented severe variable decelerations. After extensive counseling, the patient and her husband decided to deliver by cesarean section. The infant, a 505-g female, spent 54 days in the neonatal intensive care unit. At the eight-month follow-up examination, she was neurologically intact, with no long-term complications secondary to the prolapsed cord.
CONCLUSION
To the authors' knowledge, this case entailed the longest reported interval from diagnosis of umbilical cord prolapse to delivery.
背景
脐带脱垂是一种罕见的产科急症。
病例
一名28岁初产妇，孕1产0，孕23⁺²/₇周时出现阴道流液。她被诊断为脐带脱垂。由于胎儿极度早产，对她进行了期待治疗。住院第4天，记录到严重的变异减速。经过充分的咨询，患者及其丈夫决定行剖宫产。婴儿为一名体重505克的女婴，在新生儿重症监护病房度过了54天。在8个月的随访检查中，她神经功能正常，没有因脐带脱垂导致的长期并发症。
结论
据作者所知，该病例是报道中从诊断脐带脱垂到分娩间隔时间最长的。
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