Lémery D, Urbain M F, Micorek J C, Jacquetin B
Service Gynéco-Obstétrique I, Maternité de l'Hôtel-Dieu, Université de Clermont-Ferrand I, France.
Fetal Ther. 1988;3(1-2):37-43. doi: 10.1159/000263332.
Since 1984 we have performed 30 intrauterine exchange transfusions (IUET) under ultrasound guidance. In 4 pregnancies with anterior placenta, we performed 9 umbilical cord catheterizations in 11 IUET: the first with material for epidural analgesia and the others with a central venous catheter. The latest one was performed at 34 weeks, the earliest at 27 weeks and repeated up to 4 times. Every catheterization did not last more than 5 min and we did not find any infection, hematoma or placental or cord injury. All 4 pregnancies were delivered at 34-36 weeks and the babies are alive and healthy (the oldest is 4 years old). This technique, when possible, is a good alternative to long procedures with risk of fetal movements, and limits the risk of hematoma.
自1984年以来，我们在超声引导下进行了30次宫内换血输血（IUET）。在4例前置胎盘妊娠中，我们在11次IUET中进行了9次脐带置管：第一次使用硬膜外镇痛材料，其余使用中心静脉导管。最近一次在34周进行，最早在27周进行，最多重复4次。每次置管时间不超过5分钟，我们未发现任何感染、血肿或胎盘或脐带损伤。所有4例妊娠均在34至36周分娩，婴儿均存活且健康（最大的4岁）。这种技术在可能的情况下，是替代有胎儿活动风险的长时间操作的良好选择，并可降低血肿风险。
