Goldberger S B, Rosen D J, Shulman A, Bahary C, Fejgin M D
Department of Obstetrics and Gynecology A, Meir General Hospital, Sapir Medical Center, Kfar Saba, Israel.
Int J Gynaecol Obstet. 1991 Apr;34(4):367-72. doi: 10.1016/0020-7292(91)90606-6.
One of the less common complications of multiple gestation is intrauterine demise of one or more fetuses. Despite the many case reports in the literature, there are no firm guidelines regarding the management of this problem. We herein report the favorable outcome of the conservative approach we chose for managing four patients; two with twins, one with triplets and one with quadruplets (first report in the literature). Strict follow-up based on frequent physical examinations, ultrasonographic assessment of fetal growth and well being, and coagulation profiles is mandatory. Individualization of delivery dates and mode is recommended.
多胎妊娠较不常见的并发症之一是一个或多个胎儿宫内死亡。尽管文献中有许多病例报告，但对于该问题的处理尚无明确的指南。我们在此报告了我们选择的保守治疗方法对四名患者的良好疗效；两名双胞胎患者，一名三胞胎患者和一名四胞胎患者（文献中的首例报告）。必须基于频繁的体格检查、超声评估胎儿生长和健康状况以及凝血指标进行严格随访。建议对分娩日期和方式进行个体化处理。
