Rh（D）同种免疫所致水肿双胎的血管内-腹腔内联合输血

Combined intravascular-intraperitoneal transfusions in hydropic twins due to Rh (D) alloimmunization.

作者信息

Santolaya J, Warsof S L

机构信息

Eastern Virginia Medical School, Division of Maternal Fetal Medicine, Norfolk.

出版信息

Fetal Diagn Ther. 1990;5(2):70-5. doi: 10.1159/000263546.

DOI:10.1159/000263546

PMID:2130831

Abstract

Fetal hydrops due to Rh (D) alloimmunization can be reversed by ultrasound-guided intravascular transfusions with improvement in perinatal morbidity and mortality. We report a case of in utero intravascular transfusion in hydropic twins which reversed all the hydropic findings within 3 days. A simple intraperitoneal transfusion was performed in each twin 2 weeks later, and only one neonatal exchange transfusion was required for the ultimate survival of both twins.

摘要

由Rh（D）同种免疫引起的胎儿水肿可通过超声引导下的血管内输血得到逆转，围产期发病率和死亡率也会有所改善。我们报告了一例水肿双胎的宫内血管内输血病例，该病例在3天内逆转了所有水肿表现。两周后，对每个胎儿进行了一次简单的腹腔内输血，最终两个胎儿存活仅需进行一次新生儿换血输血。