Conradt A, Weidinger H, Rüth H
Geburtshilfe Frauenheilkd. 1978 Dec;38(12):1088-90.
A triplet delivery is reported. The multiple pregnancy was undiagnosed prior to labor. Twins were diagnosed on admission for delivery. The ultrasonic and abdominal EKG findings at term are discussed. The hitherto undiagnosed third triplet became incarcerated following the administration of two units of syntocinon after the delivery of the second triplet. The intrapartum tocolysis with partusisten became life saving for the third triplet on three counts. 1. The progressive acidosis was stopped. 2. Time was gained to prepared for delivery of the last triplet. 3. Internal podalic version and extraction was much easier.
据报道,此次分娩为三胞胎。多胎妊娠在分娩前未被诊断出来。入院分娩时诊断出双胞胎。文中讨论了足月时的超声和腹部心电图检查结果。在第二个三胞胎分娩后注射了两单位缩宫素后,此前未被诊断出的第三个三胞胎发生了嵌顿。使用安保(Partusisten)进行产时宫缩抑制在三个方面挽救了第三个三胞胎的生命。1. 逐渐加重的酸中毒得到了控制。2. 赢得了为最后一个三胞胎的分娩做准备的时间。3. 内倒转术和牵引术变得容易得多。