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剖宫产术后胎儿头皮电极碎片在婴儿皮下长期留存。

Long-term infant subcutaneous retention of a fragment of fetal scalp electrode following caesarean section.

作者信息

Frederiksen-Møller Britta, Lamont Ronald F, Jørgensen Jan Stener

机构信息

Department of Obstetrics and Gynaecology, Odense University Hospital, Odense, Denmark.

出版信息

BMJ Case Rep. 2011 Jul 28;2011:bcr0620114378. doi: 10.1136/bcr.06.2011.4378.

Abstract

The authors present the case of an uncommon yet potentially fatal complication after the use of a scalp electrode for intrapartum fetal heart rate monitoring. A 25-year-old nulliparous woman in spontaneous term labour had a fetal scalp electrode applied and subsequently required an emergency cesarean section. After discharge home, the mother noticed a swelling on her baby's head, where the scalp electrode had been attached. Healthcare providers neglected the mother's repeated concerns about the nature of the swelling. Seven months later, a metal spiral was expelled from the baby's head which appeared to be a broken part of the scalp electrode. The remaining metal was removed with no further signs or complications. We are aware of only a few similar cases which have been reported in the published literature.

摘要

作者报告了一例在使用头皮电极进行产时胎儿心率监测后出现的罕见但可能致命的并发症。一名25岁初产妇在足月自然分娩时应用了胎儿头皮电极,随后需要紧急剖宫产。出院回家后,母亲注意到婴儿头部曾附着头皮电极的部位出现肿胀。医疗服务提供者忽视了母亲对肿胀性质的反复担忧。七个月后,一个金属螺旋从婴儿头部排出,似乎是头皮电极的断裂部分。剩余的金属被取出,未出现进一步的体征或并发症。我们仅知晓已发表文献中报道的少数几例类似病例。

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本文引用的文献

1
Scalp changes after fetal monitoring.胎儿监护后的头皮变化。
Arch Dis Child. 1985 Mar;60(3):267-9. doi: 10.1136/adc.60.3.267.
2
Infection of fetal scalp electrode monitoring sites.
Am Fam Physician. 1992 Feb;45(2):579-82.

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