Perlman M, Tennenbaum A, Menashi M, Ron M, Ornoy A
Obstet Gynecol. 1980 Mar;55(3 Suppl):34S-37S.
The case of a patient who survived extramembranous pregnancy is presented, and the maternal, fetal, placental, and neonatal features of the condition are described and delineated. Previously underscribed phenomena include clinical evidence of fixed fetal position and a unique pattern of hemosiderin and hematoidin staining of the fetal membranes. The patient described had an intermediate form of the oligohydramnios tetrad following premature rupture of the membranes; the infant survived with respiratory support therapy in spite of apparent partial lung hypoplasia. On the basis of this and previous observations of the outcome of pregnancy complicated by prolonged amniotic fluid leakage, preliminary recommendations for the management of such pregnancies are made.
本文报道了一例膜外妊娠存活患者的病例，并描述和阐述了该病症的母体、胎儿、胎盘和新生儿特征。此前未被充分描述的现象包括固定胎儿体位的临床证据以及胎膜上独特的含铁血黄素和类铁血黄素染色模式。所描述的患者在胎膜早破后出现了羊水过少四联征的中间形式；尽管明显存在部分肺发育不全，但婴儿在呼吸支持治疗下存活。基于此病例以及先前对羊水长期渗漏合并妊娠结局的观察，对这类妊娠的管理提出了初步建议。
