Bang J, Bock J E, Trolle D
Br Med J (Clin Res Ed). 1982 Feb 6;284(6313):373-4. doi: 10.1136/bmj.284.6313.373.
Intrauterine, intraperitoneal transfusion is associated with a poor survival rate in fetuses with hydrops and low gestational age. A method of direct fetal intravenous transfusion was used in two fetuses. One fetus with severe rhesus haemolytic disease was given transfusions in the 29th and 30th weeks of gestation, using an ultrasound-guided needle through the hepatic part of the umbilical vein without fetoscopy. In another fetus, an experimental cannulation of the umbilical vein succeeded in the 23rd week of gestation. Ultrasound-guided fetal intravenous transfusion avoids the use of fetoscopy, which has limitations, and may improve the prognosis for rhesus-sensitised fetuses.
对于有水肿和低孕周的胎儿，宫内、腹腔内输血的存活率较低。对两名胎儿采用了直接胎儿静脉输血法。一名患有严重恒河猴溶血病的胎儿在妊娠第29周和第30周进行输血，使用超声引导针经脐静脉肝部进行操作，未使用胎儿镜检查。在另一名胎儿中，妊娠第23周时成功进行了脐静脉实验性插管。超声引导下的胎儿静脉输血避免了使用有局限性的胎儿镜检查，可能会改善恒河猴致敏胎儿的预后。
