Chatterjee M S, Tejani N A, Verma U L, Weiss R R
Int J Gynaecol Obstet. 1983 Apr;21(2):155-7. doi: 10.1016/0020-7292(83)90054-1.
Two cases of late midtrimester triploid gestation are presented. This unusual condition might be suspected in cases of first and second trimester bleeding when the uterus appears to be unusually large as estimated by the menstrual history. Early presence of gestational hypertension also points suggestively toward a triploid fetus. Ultrasound examination of the placenta typically shows multiple sonolucent areas. Confirmation of diagnosis is made by karyotyping cells obtained from amniotic fluid. The condition is incompatible with life and termination of pregnancy is indicated. It is considered prudent to follow HCG levels for evidence of persistent trophoblastic tissue.
本文报告了两例孕中期晚期三倍体妊娠病例。当根据月经史估计子宫异常增大时，在孕早期和孕中期出血的情况下可能会怀疑这种不寻常的情况。妊娠高血压的早期出现也提示可能存在三倍体胎儿。胎盘的超声检查通常显示多个无回声区。通过对羊水细胞进行核型分析来确诊。这种情况胎儿无法存活，应终止妊娠。监测血HCG水平以寻找持续性滋养层组织的证据被认为是谨慎的做法。
