Suzumori K, Adachi R, Yagami Y, Togari H
Department of Obstetrics and Gynecology, Nagoya City University Medical School, Japan.
Asia Oceania J Obstet Gynaecol. 1990 Mar;16(1):13-6. doi: 10.1111/j.1447-0756.1990.tb00208.x.
A fetus with midgut volvulus is described. The mother had developed polyhydramnios, and the fetus was found by sonography to have dilated fluid-filled structures compressing the chest in the upper abdomen. Percutaneous aspiration of the upper abdominal mass was performed to identify the content and know whether decompressing the chest would be beneficial. The removal of meconium-stained fluid accomplished an improvement of the fetal biophysical profile. The infant was delivered by low transverse cesarean section, and survived with immediate removal of the fluid in the abdominal mass and ventilatory therapy.
描述了一例患有中肠扭转的胎儿。母亲出现羊水过多,超声检查发现胎儿上腹部有扩张的充满液体的结构压迫胸部。经皮抽吸上腹部肿块以确定其内容物,并了解减压胸部是否有益。清除胎粪污染的液体后胎儿生物物理评分得到改善。婴儿通过低位横切口剖宫产分娩,通过立即清除腹部肿块中的液体和通气治疗得以存活。