Malcus Peter, Bjorklund Lars J, Lilja Monica, Teleman Pia, Laurini Ricardo
Department of Obstetrics and Gynecology, University Hospital, Lund, Sweden.
Fetal Diagn Ther. 2006;21(1):8-12. doi: 10.1159/000089040.
A 34-year-old healthy gravida 2 para 1 presented after an uncomplicated pregnancy at term with a 2-day history of diminished fetal movements. Fetal anemia was suspected by fetal heart rate monitoring and Doppler estimation of the fetal peak blood flow velocity of the middle cerebral artery. We were also fortunate to register pathological ST waveform changes of the fetal ECG indicating fetal hypoxia. The diagnosis of a massive feto-maternal hemorrhage was confirmed by an extremely high fraction of erythrocytes containing fetal hemoglobin in maternal blood and, after delivery, by placental histology.
一名34岁、孕2产1的健康孕妇，足月顺产，孕期无并发症，产后出现胎动减少2天。通过胎儿心率监测和多普勒估计胎儿大脑中动脉的峰值血流速度，怀疑胎儿贫血。我们还幸运地记录到胎儿心电图的病理性ST段波形改变，提示胎儿缺氧。通过孕妇血液中含有胎儿血红蛋白的红细胞比例极高，以及产后胎盘组织学检查，确诊为大量胎儿-母体出血。
