安全带损伤导致的宫内胎儿死亡
Intrauterine fetal death caused by seatbelt injury.
作者信息
Yamada Shizuka, Nishijima Koji, Takahashi Jin, Takahashi Nozomu, Tamamura Chiyo, Yoshida Yoshio
机构信息
Department of Obstetrics and Gynecology, University of Fukui, 23-3 Matsuoka-Shimoaizuki, Eiheiji-cho, Fukui 910-1193, Japan.
Department of Obstetrics and Gynecology, University of Fukui, 23-3 Matsuoka-Shimoaizuki, Eiheiji-cho, Fukui 910-1193, Japan.
出版信息
Taiwan J Obstet Gynecol. 2017 Aug;56(4):558-560. doi: 10.1016/j.tjog.2016.08.009.
OBJECTIVE
Severe motor vehicle accidents involving pregnant women can result in fetal and neonatal death. We describe a case in which fetal death occurred due to relatively mild seatbelt injuries and present the characteristic magnetic resonance imaging (MRI) findings of the placenta.
CASE REPORT
A 26-year-old primigravid woman at 20 weeks gestation was involved in an automobile accident. Although she suffered only a seatbelt injury, fetal death subsequently occurred. Contrast-enhanced MRI showed the region compressed by the seatbelt as a low-intensity band without enhancement, and serum alpha-fetoprotein and hemoglobin F levels were elevated.
CONCLUSION
Careful monitoring, including blood and abdominal examinations, should be performed when pregnant women suffer seatbelt injuries.
目的
涉及孕妇的严重机动车事故可导致胎儿和新生儿死亡。我们描述了一例因相对轻微的安全带损伤导致胎儿死亡的病例，并展示了胎盘的特征性磁共振成像（MRI）表现。
病例报告
一名26岁、妊娠20周的初孕妇发生了一起汽车事故。尽管她仅受了安全带损伤，但随后胎儿死亡。增强MRI显示，被安全带压迫的区域为无强化的低强度带，血清甲胎蛋白和血红蛋白F水平升高。
结论
孕妇遭受安全带损伤时，应进行包括血液和腹部检查在内的仔细监测。
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