Iliff P J, Nicholls J M, Keeling J W, Gough J D
Arch Dis Child. 1983 Dec;58(12):979-82. doi: 10.1136/adc.58.12.979.
Twenty seven babies with severe non-haemolytic hydrops fetalis were born during a 7 1/4 year period (1/1400 total births). Thirteen were live born and admitted to the intensive care nursery, but only three survived. The survivors differed from those live born infants who died in the neonatal period in that the cause of the hydrops was discovered antenatally, their serum concentrations of total protein and albumin were normal, and they had no structural anomaly. A scheme of investigation of the severely hydropic fetus in the antenatal period is outlined and the role of active obstetric management is evaluated.
在7年零3个月的时间里,共出生了27例患有严重非溶血性胎儿水肿的婴儿(占总出生数的1/1400)。其中13例为活产并被送入重症监护病房,但只有3例存活。存活者与那些在新生儿期死亡的活产婴儿不同,前者胎儿水肿的病因在产前就已被发现,其血清总蛋白和白蛋白浓度正常,且无结构异常。本文概述了产前对严重水肿胎儿的检查方案,并评估了积极产科处理的作用。