单胎死亡双胎妊娠的保守治疗

Conservative management of twin pregnancy with single fetal death.

作者信息

Juntao L, Jiaxin Y, Xuming B, Yu Z

机构信息

Gynecology and Obstetrical Department, Peking Union Medical College Hospital, Beijing 100730.

出版信息

Chin Med Sci J. 2000 Jun;15(2):103-6.

PMID:12901634

Abstract

OBJECTIVE

Analysis of the cause of intrauterine death of one fetus of twin and to evaluate the outcome of conservative management of twin pregnancy with single fetal death.

METHOD

A retrospective review was undertaken on PUMC hospital records of women who delivered twin between Jan. 1987 and Dec. 1998.

RESULT

During the recent 12 years, 99 pregnant women were documented as twin pregnancies. Of the twin pregnancies during this period, 13 were complicated by a single intrauterine death. Four women suffered this complication during their first trimester. In the remain 9 cases one fetus died during second or third trimester. The cesarean section was given in three pregnant women soon after a single intrauterine death because of the survival fetal distress. No consumptive coagulopathy was apparent in all 13 pregnant women. It is wise that the pregnancy was managed conservatively, with regular coagulation parameters obtained.

CONCLUSION

Our results support conservative management in twin pregnancies complicated by single fetal death.

摘要

目的

分析双胎妊娠中一胎宫内死亡的原因，并评估单胎死亡双胎妊娠保守治疗的结局。

方法

对1987年1月至1998年12月在协和医院分娩双胎的孕妇病历进行回顾性分析。

结果

在最近12年中，记录在案的双胎妊娠孕妇有99例。在此期间的双胎妊娠中，13例并发单胎宫内死亡。4例孕妇在孕早期出现这种并发症。其余9例中，1例胎儿在孕中期或孕晚期死亡。3例孕妇在单胎宫内死亡后不久因存活胎儿窘迫而行剖宫产。13例孕妇均未出现明显的消耗性凝血病。在定期检测凝血参数的情况下，对妊娠进行保守治疗是明智的。