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多胎妊娠的选择性终止

Selective termination of multiple gestations.

作者信息

Golbus M S, Cunningham N, Goldberg J D, Anderson R, Filly R, Callen P

机构信息

Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco.

出版信息

Am J Med Genet. 1988 Oct;31(2):339-48. doi: 10.1002/ajmg.1320310211.

Abstract

Twenty-two selective terminations in multiple gestations were performed by a number of different methods. In 17 dichorionic pregnancies there was a successful delivery in surviving singletons or twins. In five monochorionic pregnancies undergoing selective termination there was a successful delivery in only one and a pregnancy loss in the other four. Six of the 18 delivered pregnancies were complicated by premature labor and delivery. Among the several methods used for selective termination, intracardiac potassium chloride injection appears to be the procedure of choice in dichorionic pregnancies.

摘要

通过多种不同方法对22例多胎妊娠进行了选择性终止妊娠。在17例双绒毛膜妊娠中,存活的单胎或双胎成功分娩。在5例接受选择性终止妊娠的单绒毛膜妊娠中,只有1例成功分娩,另外4例妊娠丢失。18例分娩的妊娠中有6例并发早产和分娩。在用于选择性终止妊娠的几种方法中,心内注射氯化钾似乎是双绒毛膜妊娠的首选方法。

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