Berkowitz R L, Chitkara U, Goldberg J D, Wilkins I, Chervenak F A, Lynch L
Am J Obstet Gynecol. 1986 Sep;155(3):574-81. doi: 10.1016/0002-9378(86)90282-6.
Eight pregnancies with severe red blood cell isoimmunization were managed with use of an intravascular approach for intrauterine transfusions. Fetoscopy was not employed, and the procedures were performed percutaneously under direct ultrasound visualization. A total of 16 of 18 attempted transfusions were successfully performed, with four fetuses requiring more than one transfusion. Technical aspects of the procedure as well as its indications, advantages, and drawbacks are discussed.
对8例患有严重红细胞同种免疫的孕妇采用血管内途径进行宫内输血。未采用胎儿镜检查,手术在直接超声可视化下经皮进行。18次输血尝试中共有16次成功完成,4例胎儿需要多次输血。本文讨论了该手术的技术方面及其适应证、优点和缺点。