脐带发生极大量扭转导致扭转及宫内胎儿死亡。

Extremely large number of twists of the umbilical cord causing torsion and intrauterine fetal death.

作者信息

Herman A, Zabow P, Segal M, Ron-el R, Bukovsky Y, Caspi E

机构信息

Department of Obstetrics and Gynaecology, Assaf Harofeh Medical Center, Zerifin, Israel.

出版信息

Int J Gynaecol Obstet. 1991 Jun;35(2):165-7. doi: 10.1016/0020-7292(91)90821-l.

DOI:10.1016/0020-7292(91)90821-l

PMID:1680091

Abstract

Extremely large number of twists of the umbilical cord causing torsion of the entire length of the umbilical cord was found in two cases of intrauterine fetal death. It was twisted in one case 35 times and in the other 20 times. No additional pathology, such as stricture or abnormality of the Wharton's jelly, was found. The two mothers complained of decreased fetal movements and both newborns were found later to be growth retarded. A long cord of 120 cm was present in one case and normal length of 70 cm in the other. Close antenatal care in cases with growth retarded fetuses or decreased fetal movements may help in avoiding fetal demise in such rare cases.

摘要

在两例宫内胎儿死亡病例中，发现脐带出现极大量扭转，致使脐带全长发生扭转。其中一例脐带扭转35次，另一例扭转20次。未发现其他病理情况，如华通胶狭窄或异常。两位母亲均主诉胎动减少，后来发现两个新生儿均生长受限。一例脐带长度为120 cm，另一例脐带长度正常，为70 cm。对于胎儿生长受限或胎动减少的病例，密切的产前护理可能有助于避免此类罕见情况下的胎儿死亡。