妊娠晚期脐动脉血栓形成1例。
A Case of Umbilical Artery Thrombosis in the Third Trimester of Pregnancy.
作者信息
Lutfallah Fouad, Oufkir Nina, Markou Georges A, Frimigacci Delphine, Poncelet Christophe
机构信息
Department of Obstetrics and Gynecology, René-Dubos Hospital Center, Pontoise, France.
Department of Health, Medicine, Human Biology (UFR SMBH), University Paris 13, Sorbonne, France.
出版信息
Am J Case Rep. 2018 Jan 19;19:72-75. doi: 10.12659/ajcr.906859.
BACKGROUND Umbilical artery thrombosis is an extremely rare complication during pregnancy. Umbilical artery thrombosis has a poor prognosis and is associated with increased rates of perinatal morbidity, including intrauterine growth restriction (IUGR), and fetal mortality. CASE REPORT We report a rare case of umbilical artery thrombosis, diagnosed by ultrasound, at 33 weeks gestation in a 30-year-old woman who had previously had an uneventful pregnancy. CONCLUSIONS Umbilical artery thrombosis is a rare complication of pregnancy that is associated with high fetal mortality. Management may include planned elective delivery by cesarean section, following antenatal corticosteroid therapy for fetal lung maturation.
背景
脐动脉血栓形成是孕期极为罕见的并发症。脐动脉血栓形成预后不良，与围产期发病率增加相关，包括宫内生长受限（IUGR）和胎儿死亡率升高。病例报告：我们报告一例罕见的脐动脉血栓形成病例，一名30岁女性在妊娠33周时经超声诊断为此病，该女性既往妊娠过程顺利。结论：脐动脉血栓形成是一种罕见的妊娠并发症，与高胎儿死亡率相关。治疗可能包括在产前给予糖皮质激素促进胎儿肺成熟后，计划择期剖宫产分娩。
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