Shimokawa H, Hara K, Fukuda A, Nakano H
Department of Gynecology and Obstetrics, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Obstet Gynecol. 1988 Jun;71(6 Pt 2):984-6.
Using ultrasound, nonimmunologic hydrops fetalis can be diagnosed antenatally, but the antenatal management remains debatable. To treat a fetus with idiopathic hydrops fetalis, we injected albumin into the fetal abdomen in utero. After this treatment, the hourly fetal urine production rate increased significantly, and edema and ascites disappeared subsequently at two weeks and three weeks, respectively. Edema and ascites were absent at birth. The child remains well at 18 months of age.
使用超声检查,可在产前诊断非免疫性胎儿水肿,但产前管理仍存在争议。为治疗特发性胎儿水肿,我们在子宫内将白蛋白注入胎儿腹部。治疗后,胎儿每小时尿量显著增加,水肿和腹水分别在两周和三周后消失。出生时无水肿和腹水。该患儿18个月大时情况良好。