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围产期凝血障碍并发胎儿血液取样

Perinatal coagulopathies complicating fetal blood sampling.

作者信息

Hull M G

出版信息

Br Med J. 1972 Nov 11;4(5836):319-21. doi: 10.1136/bmj.4.5836.319.

DOI:10.1136/bmj.4.5836.319
PMID:4637509
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1786604/
Abstract

In a neonatal postmortem histological study of scalp stabs made with a fetal blood sampling blade the aponeurosis was punctured in up to 38% of cases even when it was more than 2 mm deep. This and other indirect and direct evidence discussed suggest that five of the seven reported cases of major bleeding after fetal blood sampling in labour were due to blood clotting defects and that these should be considered urgently in the management of future cases.

摘要

在一项关于使用胎儿采血刀片进行头皮刺伤的新生儿尸检组织学研究中,即使刺伤深度超过2毫米,腱膜被刺破的情况在高达38%的病例中仍有发生。所讨论的这一情况以及其他间接和直接证据表明,分娩时胎儿采血后报告的7例大出血病例中有5例是由于凝血缺陷所致,在未来病例的处理中应紧急考虑这些因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c704/1786604/41810cfc2356/brmedj02231-0020-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c704/1786604/be5ad46383e0/brmedj02231-0020-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c704/1786604/41810cfc2356/brmedj02231-0020-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c704/1786604/be5ad46383e0/brmedj02231-0020-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c704/1786604/41810cfc2356/brmedj02231-0020-b.jpg

相似文献

1
Perinatal coagulopathies complicating fetal blood sampling.围产期凝血障碍并发胎儿血液取样
Br Med J. 1972 Nov 11;4(5836):319-21. doi: 10.1136/bmj.4.5836.319.
2
Massive scalp haemorrhage after fetal blood sampling due to haemorrhagic disease.胎儿血液取样后因出血性疾病导致大量头皮出血。
Br Med J. 1972 Nov 11;4(5836):321-2. doi: 10.1136/bmj.4.5836.321.
3
Complications of fetal blood sampling.胎儿血液取样的并发症。
Am J Obstet Gynecol. 1970 May 15;107(2):288-94. doi: 10.1016/0002-9378(70)90599-5.
4
Complications of fetal blood sampling during labor. The pediatrician should always be informed when scalp samples have been taken.分娩期间胎儿采血的并发症。采集头皮血样时应始终通知儿科医生。
Clin Pediatr (Phila). 1973 Oct;12(10):603-6. doi: 10.1177/000992287301201109.
5
Persistent scalp bleeding due to fetal coagulopathy following fetal blood sampling.胎儿血样采集后因胎儿凝血病导致的持续性头皮出血。
Int J Gynaecol Obstet. 2006 Jan;92(1):69-70. doi: 10.1016/j.ijgo.2005.05.017. Epub 2005 Oct 25.
6
Perinatal hemorrhagic shock after fetal scalp blood sampling.围产期中胎儿头皮血采样后出血性休克。
Obstet Gynecol. 2010 Feb;115(2 Pt 2):419-420. doi: 10.1097/AOG.0b013e3181c51aeb.
7
Excessive bleeding from fetal scalp blood sampling.胎儿头皮血采样时出血过多。
Aust N Z J Obstet Gynaecol. 1980 Feb;20(1):55-7. doi: 10.1111/j.1479-828x.1980.tb00897.x.
8
Cerebrospinal fluid leakage, an uncommon complication of fetal blood sampling: a case report and review of the literature.脑脊液漏,胎儿血样采集的一种罕见并发症:病例报告及文献复习。
Obstet Gynecol Surv. 2011 Jan;66(1):42-6. doi: 10.1097/OGX.0b013e318213e644.
9
Should national guidelines continue to recommend fetal scalp blood sampling during labor?国家指南是否应继续推荐在分娩期间进行胎儿头皮血取样?
J Matern Fetal Neonatal Med. 2016 Nov;29(22):3682-5. doi: 10.3109/14767058.2016.1140740. Epub 2016 Feb 24.
10
Intrapartum fetal scalp lactate sampling for fetal assessment in the presence of a non-reassuring fetal heart rate trace.在胎儿心率监护结果不令人放心的情况下,进行产时胎儿头皮乳酸采样以评估胎儿状况。
Cochrane Database Syst Rev. 2010 Mar 17(3):CD006174. doi: 10.1002/14651858.CD006174.pub2.

本文引用的文献

1
Massive hemorrhage in the scalp of the newborn infant: hemorrhagic caput succedaneum.
Pediatrics. 1962 Jun;29:907-10.
2
MASSIVE HEMORRHAGE--SCALPS OF NEWBORN INFANTS.大量出血——新生儿头皮
Am J Dis Child. 1964 Oct;108:413-7.
3
EXSANGUINATING CEPHALHEMATOMA: A REPORT OF TWO CASES.失血性头颅血肿:两例报告
Can Med Assoc J. 1964 Jul 25;91(4):177-9.
4
Exsanguinating cephalhaematomata in African newborn infants.非洲新生儿的失血性头颅血肿
Arch Dis Child. 1963 Jun;38(199):280-5. doi: 10.1136/adc.38.199.280.
5
Giant cephalhematoma of newborn with hemorrhagic disease and hyperbilirubinemia.新生儿巨大头皮血肿伴出血性疾病和高胆红素血症。
Am J Dis Child. 1961 Feb;101:170-3. doi: 10.1001/archpedi.1961.04020030034007.
6
Microanalysis of foetal blood. A critical study of the method.胎儿血液的微量分析。该方法的批判性研究。
Ger Med Mon. 1967 Jul;12(7):315-27.
7
Coagulation studies in mothers and healthy neonates, with an interracial survey of clotting factors in the newborn.对母亲和健康新生儿进行凝血研究,并对新生儿凝血因子进行跨种族调查。
S Afr Med J. 1967 Oct 28;41(41):1039-41.
8
Evaluation of fetal blood pH as a reflection of fetal well-being.评估胎儿血pH值以反映胎儿健康状况。
Am J Obstet Gynecol. 1967 Apr 1;97(7):912-8. doi: 10.1016/0002-9378(67)90516-9.
9
Haemorrhage following foetal blood sampling.胎儿采血后的出血
J Obstet Gynaecol Br Commonw. 1966 Oct;73(5):860-1. doi: 10.1111/j.1471-0528.1966.tb06104.x.
10
Scalp hemorrhage as an emergency in the newborn.新生儿头皮出血作为一种急症
JAMA. 1965 Nov 1;194(5):567-8.