大量胎儿-母体出血：病例报告
Massive fetomaternal hemorrhage: case report.
作者信息
Ishihara H, Takahashi H, Takeuchi Y, Kigawa J, Sawazumi K, Ito T, Maeda K
机构信息
Department of Obstetrics and Gynecology, Tottori University School of Medicine, Yonago, Japan.
出版信息
Asia Oceania J Obstet Gynaecol. 1990 Sep;16(3):225-8. doi: 10.1111/j.1447-0756.1990.tb00230.x.
Massive fetomaternal hemorrhage (FMH) is rare. Early diagnosis is important because FMH has a poor prognosis in the antepartum or early postpartum period. A case of massive FMH in which 400 ml blood was lost is presented here. Fetal anemia was suspected from the sinusoidal fetal heart rate pattern. The hemorrhage in the maternal circulation was diagnosed before delivery by using the Kleihauer-Betke test. An emergency cesarean section was performed. The cord hemoglobin level was 3.7 g/dl. The baby's severe anemia was treated with a neonatal blood transfusion. In this case, the baby had a good clinical course. Early diagnosis and treatment of massive FMH are necessary for a good prognosis.
大量胎儿-母体出血（FMH）较为罕见。早期诊断很重要，因为FMH在产前或产后早期预后较差。本文报告一例大量FMH病例，失血达400毫升。从胎儿心率呈正弦波型怀疑有胎儿贫血。通过Kleihauer-Betke试验在分娩前诊断出母体循环中的出血。进行了急诊剖宫产。脐带血红蛋白水平为3.7克/分升。婴儿的严重贫血通过新生儿输血进行治疗。在该病例中，婴儿临床过程良好。早期诊断和治疗大量FMH对于良好的预后是必要的。
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