Wilken H P, Herre H D, Zacharias K
Zentralbl Gynakol. 1975;97(19):1195-200.
34 falls with Morbus haemolyticus fetalis were controled from the 30. to 40. week of pregnancy by cardiotocography. The order of the severity of fetal erythroblastosis and certain types of oscillation devoted: In slight cases of Morbus haemolyticus fetalis preponderated (Hb greater than 15 g%) a undulating curve of oscillation (80%). Middlesevere cases (Hb 9-15 g%) showed in 57.2% an undulating and in 42.8% a saltatoring types of oscillation. In cases of severe fetal anemia (Hb less than 9 g%) we found at 64.2% a silent to narrowed undulating and at 21.4% saltatoring types of oscillations. A normal type of oscillation we not observed in this group. The various degrees of a chronical fetal hypoxia caused by an anemia and a placental dysfunction have been discussed as a reason for the typical CTG-curves. At hydrops fetus et placentae are bearing silent and sinusoid heart frequency curve and the CTG-sign late deceleration. A fetal intrauterine transfusion seems not very successfully, at this findings. During the intrauterine transfusion were established in all cases to a restriction of fluctuation at simultaneous increase of frequency.
在妊娠第30至40周期间,通过胎心监护仪对34例胎儿溶血症患者进行了监测。胎儿红细胞增多症的严重程度顺序以及某些类型的振荡情况如下:在胎儿溶血症轻度病例中(血红蛋白大于15g%),波动曲线占优势(80%)。中度严重病例(血红蛋白9 - 15g%)中,57.2%表现为波动型,42.8%表现为跳跃型振荡。在严重胎儿贫血病例(血红蛋白小于9g%)中,我们发现64.2%为无声至狭窄波动型,21.4%为跳跃型振荡。在该组中未观察到正常类型的振荡。由贫血和胎盘功能障碍引起的不同程度的慢性胎儿缺氧被讨论为典型胎心监护曲线的原因。在胎儿水肿伴胎盘水肿时,出现无声和正弦型心率曲线以及胎心监护信号晚期减速。根据这些发现,胎儿宫内输血似乎不太成功。在所有病例的宫内输血过程中,均出现了频率增加同时波动受限的情况。