Kaneko Masatoki, Kawagoe Yasuyuki, Oonishi Junji, Yamada Naoshi, Sameshima Hiroshi, Ikenoue Tsuyomu
Perinatal Center, Department of Obstetrics and Gynecology, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan.
J Obstet Gynaecol Res. 2012 Apr;38(4):741-4. doi: 10.1111/j.1447-0756.2011.01761.x. Epub 2012 Mar 2.
We report a case of delayed-interval delivery of a dichorionic, diamniotic twin pregnancy with the survival of both twins. The patient presented at 22 weeks and 1 day of gestation with vaginal bleeding and preterm labor. Five days later, the first twin was born. The second twin remained in utero. The management consisted of careful monitoring of both maternal and fetal status. Nine days later, the second twin was delivered vaginally. Both twins received full resuscitation and immediate life-support intervention; at 7 years of age both twins exhibited normal development.
我们报告一例双绒毛膜、双羊膜囊双胎妊娠延迟间隔分娩且两个胎儿均存活的病例。该患者在妊娠22周零1天时出现阴道出血和早产。五天后，第一个胎儿出生。第二个胎儿仍留在子宫内。处理措施包括仔细监测母婴状况。九天后，第二个胎儿经阴道分娩。两个胎儿均接受了全面复苏和立即的生命支持干预；在7岁时，两个胎儿发育均正常。
