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[应对严重恒河猴血型所致胎儿溶血病的宫内胎儿输血经验——十年报告(作者译)]

[Experience obtained from intra-uterine foetal transfusion to cope with severe rhesus-caused haemolytic disease of foetus - ten-year report (author's transl)].

作者信息

Klausch B, Kyank H, Hille M, Müller S, Stark K H, Plesse R, Pelz L

出版信息

Zentralbl Gynakol. 1980;102(13):689-701.

PMID:7445825
Abstract

Sixty-three intra-uterine transfusions were applied to 44 foetuses with foetohaemolytic disease, in Rostock, between 1967 and 1976. Patients were selected for treatment by means of stepwise prenatal diagnosis. Details of that selection are described together with the technique of intra-uterine transfusion, with reference being made also to risks and complications. The survival rate of children, following intra-uterine transfusion, accounted for 41 per cent. The survival rate of non-hydropic foetuses was 76 per cent and thus much beyond that of hydropic foetuses of whom only 19 per cent survived. While the incidence of severe foetohaemolytic disease due to blood-group incompatibility is on a declining trend, intra-uterine foetal transfusion should be maintained as a possible therapy for certain cases.

摘要

1967年至1976年间,在罗斯托克,对44例患有胎儿溶血病的胎儿进行了63次宫内输血。通过逐步的产前诊断来选择患者进行治疗。选择的详细情况连同宫内输血技术一起进行了描述,同时也提及了风险和并发症。宫内输血后儿童的存活率为41%。非水肿胎儿的存活率为76%,远高于水肿胎儿,后者仅有19%存活。虽然因血型不相容导致的严重胎儿溶血病的发病率呈下降趋势,但宫内胎儿输血仍应作为某些病例的一种可能治疗方法保留。

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