Steinfeld J D, Ludmir J, Eife S, Robbins D, Samuels P
Department of Obstetrics and Gynecology, University of Pennsylvania Medical Center, Philadelphia 19104.
J Reprod Med. 1992 Dec;37(12):989-91.
As imaging techniques improve, nuchal cords are often being identified prior to labor. Nuchal cords are encountered in up to 25% of deliveries and are usually not clinically significant. They may, however, have devastating results. Nuchal cords may be associated with abnormal fetal activity and testing, but there is often no clinical warning of a nuchal cord during pregnancy, labor or delivery. We report a case of a quadruple nuchal cord discovered after the mother complained of decreased fetal movement. The clinical course of this patient highlights many of the difficulties encountered in the management of antenatally diagnosed nuchal cords, particularly in the preterm fetus.
随着成像技术的进步，在分娩前常常能发现脐带绕颈。高达25%的分娩会出现脐带绕颈，且通常无临床意义。然而，它们可能产生严重后果。脐带绕颈可能与胎儿活动及检查异常有关，但在孕期、分娩期通常没有脐带绕颈的临床警示。我们报告一例母亲主诉胎动减少后发现的四重脐带绕颈病例。该患者的临床经过凸显了产前诊断脐带绕颈处理中遇到的诸多困难，尤其是对于早产胎儿。
