Benacerraf B R, Barss V A, Saltzman D H, Greene M F, Penso C A, Frigoletto F D
Am J Obstet Gynecol. 1987 May;156(5):1218-20. doi: 10.1016/0002-9378(87)90148-7.
Percutaneous umbilical blood sampling is emerging as an important procedure in the armamentarium of the obstetrician involved with prenatal diagnosis. It has apparent low morbidity and can be accomplished with relative ease by the experienced operator. We report a series of 42 successful percutaneous umbilical blood sampling procedures in 22 patients and describe the indications and gestational ages of the fetuses undergoing the blood-sampling procedures. Nine of the procedures involved intravascular transfusions. In one of our 42 cases, acute fetal distress developed in a manner similar to that of a previously reported case that was likewise associated with a compromised fetus and ended in death. Because of prompt and immediate delivery, the infant described in this series survived and, although this procedure appears to be relatively safe in experienced hands, it is imperative that the associated complications be duly recorded.
经皮脐血采样正成为参与产前诊断的产科医生医疗手段中的一项重要操作。它的发病率明显较低，经验丰富的操作人员相对容易完成。我们报告了22例患者中42例成功的经皮脐血采样操作，并描述了接受血样采集操作的胎儿的指征和胎龄。其中9例操作涉及血管内输血。在我们的42例病例中，有1例出现了急性胎儿窘迫，其发生方式与先前报道的1例类似，该病例同样与胎儿受损有关并最终死亡。由于及时分娩，本系列中描述的婴儿存活了下来，尽管该操作在经验丰富的人手中似乎相对安全，但必须适当地记录相关并发症。
