Kim Tae-Hee, Lee Hae-Hyeog, Chung Soo-Ho, Park Junsik, Kwak Jeong Ja
Departments of Obstetrics and Gynecology and.
J Matern Fetal Neonatal Med. 2014 Apr;27(6):643-5. doi: 10.3109/14767058.2013.818975. Epub 2013 Sep 6.
Fetal thrombotic vasculopathy, a rare condition, is defined as thrombosis in the fetal circulation of placenta causing fibrotic villi and its detection before delivery is difficult. Thrombosis in fetal placenta involves various problems such as uteroplacental insufficiency, central nervous system injury and even perinatal death. Here, we report a case of fetal arterial thrombosis predisposed to neonatal neurologic impairment. This case emphasizes an importance of placental biopsy, especially when the neonate seems to have problems. We recommend that pathological examination of placenta be performed not only when abnormal gross findings of placenta, but also when fetal abnormalities are observed.
胎儿血栓性血管病是一种罕见病症，定义为胎盘胎儿循环中的血栓形成，导致绒毛纤维化，且在分娩前难以检测到。胎儿胎盘血栓形成涉及多种问题，如子宫胎盘功能不全、中枢神经系统损伤甚至围产期死亡。在此，我们报告一例易导致新生儿神经功能损害的胎儿动脉血栓形成病例。该病例强调了胎盘活检的重要性，尤其是当新生儿似乎存在问题时。我们建议不仅在胎盘出现异常大体表现时，而且在观察到胎儿异常时，都要进行胎盘的病理检查。
