Marianowski L, Lukaszewicz E, Debski R, Latoszewska-Smółko W, Lenkiewicz B, Falecka K, Gromadzki J
II Kliniki Połoznictwa i Ginekologii II Wydziału Lekarskiego AM, Warszawie.
Pol Tyg Lek. 1991;46(17-18):303-6.
Efficacy of the intraperitoneal and intravenous blood transfusions guided ultrasonographically was evaluated in severe cases of fetal hemolytic disease due to Rh conflict. It was shown, that survival rate of fetuses without generalized edema is two-fold higher in the group treated with intraperitoneal blood transfusions in comparison with the control group. It was found, that the proportion of erythrocytes containing HbA in umbilical blood of newborn is related to the number of intraperitoneal transfusions. One has to underline the failure of such a treatment in features with generalized edema. In such case intravenous blood transfusion is a method of choice.
对超声引导下腹腔内输血和静脉输血在Rh血型不合所致严重胎儿溶血病病例中的疗效进行了评估。结果显示，与对照组相比，在未发生全身水肿的胎儿组中，接受腹腔内输血治疗的胎儿存活率高出两倍。研究发现，新生儿脐血中含HbA的红细胞比例与腹腔内输血次数有关。必须强调的是，这种治疗方法对伴有全身水肿的病例无效。在这种情况下，静脉输血是首选方法。
