Department of Obstetrics and Gynecology, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu 41944, Republic of Korea.
Department of Obstetrics and Gynecology, Kyungpook National University Chilgok Hospital, School of Medicine, Kyungpook National University, Daegu 41404, Republic of Korea.
Medicina (Kaunas). 2022 Dec 9;58(12):1813. doi: 10.3390/medicina58121813.
In monochorionic twins with no evidence of chronic twin-to-twin transfusion syndrome or twin anemia-polycythemia sequence, a sudden onset of fetal transfusion syndrome after the second trimester of pregnancy is defined as acute twin-to-twin transfusion syndrome. Labor pain, change in the fetal position, and birth order are known risk factors for this condition, and the hemoglobin level of the donor twin is usually reported to be <12 g/dL. We report a recent case of acute twin-to-twin transfusion syndrome without effective labor pain causing cervical changes, resulting in fetal bradycardia and neonatal death after birth; however, the anemia of the donor twin was not as severe as has been reported previously in twin-to-twin transfusion syndrome cases.
在没有慢性双胎输血综合征或双胎贫血-红细胞增多序列证据的单绒毛膜双胞胎中，妊娠中期后突然发生胎儿输血综合征定义为急性双胎输血综合征。分娩痛、胎儿位置改变和分娩顺序是这种情况的已知危险因素，供体双胞胎的血红蛋白水平通常报告为<12 g/dL。我们报告了最近一例急性双胎输血综合征病例，无有效分娩痛导致宫颈变化，导致分娩后胎儿心动过缓并新生儿死亡；然而，供体双胞胎的贫血程度并不像以前报道的双胎输血综合征病例那样严重。
