Muller J, Giovangrandi Y, Parnet-Mathieu F, Cabrol D, Paniel B J, Sureau C
Clinique Universitaire Baudelocque, Paris, France.
Eur J Obstet Gynecol Reprod Biol. 1988 Jul;28(3):269-72. doi: 10.1016/0028-2243(88)90037-8.
The authors report a case of acute fetal distress after fetal blood sampling, performed for fetal karyotype because of a precocious and symmetrical fetal growth retardation without maternal hypertension or ultrasonographic evidence of fetal malformation. A cesarean section performed because of acute fetal distress showed the newborn to be hypotrophic, with a major acidosis and a refractory hypoxemia. The new born died despite intensive care. Acute fetal anemia was assumed to be the cause of acute fetal distress. The authors emphasize the use of FHR in fetal survey after fetal blood sampling.
作者报告了一例胎儿血液采样后发生急性胎儿窘迫的病例。该采样是由于胎儿早熟且对称生长受限而进行的胎儿核型分析，母亲无高血压，超声检查也未发现胎儿畸形迹象。因急性胎儿窘迫进行的剖宫产显示新生儿发育不良，有严重酸中毒和难治性低氧血症。尽管进行了重症监护，新生儿仍死亡。急性胎儿贫血被认为是急性胎儿窘迫的原因。作者强调在胎儿血液采样后的胎儿监测中使用胎心率。
