Rodeck C H, Roberts L J
Department of Obstetrics and Gynaecology, University College London Medical School, UK.
Fetal Diagn Ther. 1994 Jul-Aug;9(4):213-7. doi: 10.1159/000263935.
A 36-year-old pregnant woman with anti-HPA1a antibodies underwent six fetal platelet concentrate transfusions. During the second, at 28 weeks' gestation, fetal asystole occurred in association with a post-transfusion platelet count of 813 x 10(9)/l. Asystole was reversed by an intracardiac partial exchange transfusion of normal saline for fetal blood, simultaneously reducing fetal plasma viscosity and enabling re-commencement of the fetal circulation.
一名怀有抗HPA1a抗体的36岁孕妇接受了6次胎儿血小板浓缩物输血。在第二次输血时，妊娠28周，胎儿出现心搏停止，同时输血后血小板计数为813×10⁹/L。通过用生理盐水进行心脏内部分换血以置换胎儿血液，逆转了心搏停止，同时降低了胎儿血浆粘度并使胎儿循环重新开始。
