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母胎细小病毒B19感染所致的巴兰坦综合征:附两例报告

[Ballantyne syndrome caused by materno-fetal Parvovirus B19 infection: about two cases].

作者信息

Desvignes F, Bourdel N, Laurichesse-Delmas H, Savary D, Gallot D

机构信息

Pôle de gynéco-obstétrique-reproduction humaine, CHU de Clermont-Ferrand, CHU Estaing, 1 place Lucie-Aubrac, Clermont-Ferrand cedex 1, France.

出版信息

J Gynecol Obstet Biol Reprod (Paris). 2011 May;40(3):262-6. doi: 10.1016/j.jgyn.2010.12.001. Epub 2011 Jan 26.

Abstract

Ballantyne's syndrome also known as Mirror syndrome is the association of fetal hydrops and maternal hydric retention. The maternal condition is often misdiagnosed as preeclampsia. We report two cases of Ballantyne syndrome associated with materno-fetal Parvovirus B19 infection. In the first case, the syndrome occurred at 26GW in a context of premature rupture of membranes. Parents and medical staff opted for termination of pregnancy because of the poor fetal prognosis. Maternal symptoms regressed after delivery. In the second case, the patient presented a Ballantyne's syndrome at 25GW. Intrauterine transfusions reversed symptomatology. Fetal hydrops of any etiology can be associated with this syndrome. Specific treatment of the fetus can avoid maternal complication allowing continuation of the pregnancy.

摘要

巴兰坦综合征(也称为镜像综合征)是胎儿水肿与母体水潴留的关联。母体情况常被误诊为子痫前期。我们报告两例与母婴细小病毒B19感染相关的巴兰坦综合征病例。第一例中,该综合征于孕26周在胎膜早破的情况下出现。由于胎儿预后不良,父母和医护人员选择终止妊娠。产后母体症状消退。第二例中,患者在孕25周出现巴兰坦综合征。宫内输血使症状得到缓解。任何病因引起的胎儿水肿都可能与该综合征相关。对胎儿的特异性治疗可避免母体并发症,从而使妊娠得以继续。

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