超声引导下对一例严重Rh血型免疫病例进行胎儿血管内输血

Intravascular fetal blood transfusion under ultrasonic guidance in a case of severe Rh isoimmunization.

作者信息

Westgren M, Stangenberg M, Sasidharan P, Schifano J

机构信息

Department of Obstetrics and Gynecology, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.

出版信息

Acta Obstet Gynecol Scand. 1988;67(8):747-9. doi: 10.3109/00016349809004302.

DOI:10.3109/00016349809004302

PMID:3150641

Abstract

A severely Rh-affected fetus with an initial hematocrit value of 7% and a hemoglobin value of 2.3 g/dl was transfused three times by the intravascular route into the umbilical cord under ultrasonic guidance. After the second transfusion, fetal movements recurred and the non-stress test became reactive. Neonatal outcome was favorable. The implications of this procedure are discussed.

摘要

一名严重受Rh影响的胎儿，初始血细胞比容值为7%，血红蛋白值为2.3g/dl，在超声引导下通过血管内途径经脐带进行了三次输血。第二次输血后，胎儿恢复活动，无应激试验转为阳性。新生儿结局良好。本文讨论了该操作的意义。