单羊膜囊和双羊膜囊双胎输血综合征中供体无尿的意义有所不同。
Significance of donor anuria differs between monoamniotic and diamniotic twin-twin transfusion syndrome.
作者信息
Schaap A H P, van den Wijngaard J P H M, Nikkels P G J, van den Broek A J M, Snieders I, van Gemert M J C
机构信息
Department of Obstetrics and Gynecology, Academic Medical Centre, University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands.
出版信息
Placenta. 2007 May-Jun;28(5-6):523-6. doi: 10.1016/j.placenta.2006.09.003. Epub 2006 Nov 2.
Development of severe twin-twin transfusion syndrome (TTTS) in diamniotic-monochorionic twins includes five stages of increasing severity, i.e. recipient polyhydramnios and donor oligohydramnios, donor anuria, abnormal umbilical flow velocities in either twin, hydrops in the recipient, and intrauterine fetal death (IUFD) in either or both twins. In a severe case of TTTS in monoamniotic twins we observed donor anuria to appear after hydrops in the recipient. We conclude that donor anuria is a late and serious symptom in monoamniotic TTTS.
双羊膜囊单绒毛膜双胎发生严重双胎输血综合征（TTTS）包括五个严重程度逐渐增加的阶段，即受血儿羊水过多和供血儿羊水过少、供血儿无尿、任一胎儿脐血流速度异常、受血儿水肿以及任一或两个胎儿宫内死亡（IUFD）。在一例单羊膜囊双胎的严重TTTS病例中，我们观察到供血儿无尿在受血儿水肿之后出现。我们得出结论，供血儿无尿是单羊膜囊TTTS的晚期严重症状。
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