Pielet B W, Socol M L, MacGregor S N, Ney J A, Dooley S L
Department of Obstetrics and Gynecology, Northwestern University Medical School, Chicago, Illinois.
Am J Obstet Gynecol. 1988 Dec;159(6):1497-500. doi: 10.1016/0002-9378(88)90582-0.
Fetal blood sampling via cordocentesis is being used with increasing frequency. Between March 1986 and February 1988, we performed 58 intravascular transfusions (64 attempts) and 27 fetal blood samplings (28 attempts) guided by ultrasonography. The complication rates for intravascular transfusion and fetal blood sampling were 9.4% (6 of 64) and 7.1% (2 of 28), respectively. The procedure-related mortality rates were 4.7% (3 of 64) and 0%. We caution that the potential complications be seriously considered when appropriate patients are selected for cordocentesis. Additionally, we recommend that cordocentesis be performed only in tertiary care centers by personnel skilled in both ultrasonography and prenatal diagnosis.
经皮脐血管穿刺采集胎儿血样的应用频率日益增加。在1986年3月至1988年2月期间，我们在超声引导下进行了58次血管内输血（共尝试64次）和27次胎儿血样采集（共尝试28次）。血管内输血和胎儿血样采集的并发症发生率分别为9.4%（64次中的6次）和7.1%（28次中的2次）。与操作相关的死亡率分别为4.7%（64次中的3次）和0%。我们提醒，在为合适的患者选择经皮脐血管穿刺时，应认真考虑潜在的并发症。此外，我们建议仅在三级医疗中心由精通超声检查和产前诊断的人员进行经皮脐血管穿刺。
