Miyachi Keiko, Kikuchi Akihiko, Kitsunezaki Masako, Sunagawa Sorahiro, Hiroma Takehiko, Takagi Kimiyo, Ogiso Yoshifumi, Nakamura Tomohiko
Department of Obstetrics, Center for Perinatal Medicine, Nagano Children's Hospital, Nagano, Japan.
J Obstet Gynaecol Res. 2007 Oct;33(5):726-30. doi: 10.1111/j.1447-0756.2007.00640.x.
There have been several reports of umbilical cord ulcer (UCU) associated with congenital intestinal atresia, many cases of which have been reported with fetal or neonatal death. Herein is described the case of a fetus with jejunal atresia complicated by acute massive intrauterine hemorrhage due to the perforation of UCU resulting in an intact survival. Although the onset of critical condition in the present case was noted due to continuous fetal heart rate (FHR) monitoring, it is necessary to establish the management of congenital intestinal atresia to prevent this life-threatening fetal hemorrhage.
已有多篇关于脐部溃疡（UCU）与先天性肠闭锁相关的报道，其中许多病例报告伴有胎儿或新生儿死亡。本文描述了一例空肠闭锁胎儿因脐部溃疡穿孔并发急性大量宫内出血但最终存活的病例。尽管本病例因持续的胎儿心率（FHR）监测而发现病情危急，但有必要确立先天性肠闭锁的治疗方法以预防这种危及胎儿生命的出血情况。
