Visser G H
Am J Obstet Gynecol. 1982 Jul 1;143(5):538-44. doi: 10.1016/0002-9378(82)90544-0.
A review was made of the data on 42 cases of Rh disease that resulted in the birth of a live infant after 33 weeks' gestation. On 12 occasions, antepartum monitoring of fetal heart rate (FHR) showed a sinusoidal and/or decelerative heart rate pattern. All 12 infants were anemic at birth; only one was born acidotic. One infant died neonatally. Monitoring of FHR identified the severely affected infant more reliably than did the Liley classification. Within the same Liley group, infants with an abnormal heart rate tracing had lower values of hemoglobin at birth than did infants with a normal tracing. The conclusion is that a decelerative heart rate pattern is just as indicative of an infant severely affected with Rh disease as is the sinusoidal pattern. Once the abnormal heart rate pattern is identified, early delivery nearly always results in an infant who survives.
对42例Rh溶血病病例的数据进行了回顾，这些病例的妊娠在33周后分娩出活婴。在12例中，产前胎儿心率（FHR）监测显示出正弦波和/或减速心率模式。所有12例婴儿出生时均贫血；只有1例出生时酸中毒。1例婴儿新生儿期死亡。与Liley分类相比，FHR监测能更可靠地识别出严重受影响的婴儿。在同一Liley组内，心率描记异常的婴儿出生时血红蛋白值低于心率描记正常的婴儿。结论是，减速心率模式与正弦波模式一样，都表明婴儿受到严重的Rh溶血病影响。一旦识别出异常心率模式，早期分娩几乎总能使婴儿存活。
