Moise K J, Carpenter R J, Huhta J C, Deter R L
Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Tex.
Fetal Ther. 1987;2(2):65-70. doi: 10.1159/000263285.
Direct intravascular transfusion of the fetus with Rhesus isoimmunization is becoming more widespread as the procedure of choice in the treatment of this disease. To date no direct complications of this new procedure have been reported. The authors describe a case of cord hematoma with resulting fetal compromise secondary to venipuncture of the umbilical vein. Doppler studies and review of the fetal heart rate tracings pointed toward umbilical artery vasospasm secondary to the cord hematoma as the etiology of the transient fetal bradycardia.
随着恒河猴血型免疫的胎儿直接血管内输血作为这种疾病治疗的首选方法越来越广泛。迄今为止，尚未报道这种新方法的直接并发症。作者描述了一例因脐静脉穿刺继发脐带血肿导致胎儿受损的病例。多普勒研究和胎儿心率描记图显示，脐带血肿继发脐动脉痉挛是短暂性胎儿心动过缓的病因。
