Kopp A, Goepel E, Eidtmann H, Kraemer-Hansen H, Kremer B
Universitäts-Frauenklinik, Universitäts-Krankenhaus Hamburg-Eppendorf.
Geburtshilfe Frauenheilkd. 1991 Sep;51(9):750-2. doi: 10.1055/s-2007-1023827.
We report about a pregnancy and obstetrical management of a patient who had undergone a liver transplantation. Following a normal pregnancy, the newborn was born spontaneously in the 39th week of pregnancy. During the pregnancy the CSA blood levels were controlled frequently as well as the fetal development. An amniocentesis for chromosomal analysis, measurement of AFP blood levels, virus diagnostic and a phase III ultrasound diagnostic were performed. Immediately after delivery the baby was examined carefully by a pediatrician. Management of such a risk pregnancy, after organ transplantation, is possible if there is a close interdisciplinary cooperation between obstetricians, pediatricians, transplant surgeons and internal medicine specialist.
我们报告了一例接受肝移植患者的妊娠及产科管理情况。经过正常孕期后，新生儿于孕39周自然分娩。孕期中，环孢素A（CSA）血药浓度以及胎儿发育情况均受到频繁监测。进行了羊水穿刺染色体分析、甲胎蛋白（AFP）血药浓度测定、病毒诊断及三期超声诊断。分娩后，儿科医生立即对婴儿进行了仔细检查。如果产科医生、儿科医生、移植外科医生及内科专家之间能进行密切的多学科合作，那么器官移植后这类高危妊娠的管理是可行的。
