Palmer A, Gordon R R
Br J Obstet Gynaecol. 1976 Sep;83(9):688-93. doi: 10.1111/j.1471-0528.1976.tb00914.x.
A critical review of 142 intrauterine fetal transfusions performed in 99 patients during 107 pregnancies raised doubts about the absolute benefit of the procedure. Two main problems emerged: the diagnostic criteria upon which decisions were based were inadequate and the fetal mortality associated with transfusion was high, especially when this was performed before 28 weeks. We measured amniotic fluid bilirubin concentration by a biochemical method but the results following intrauterine fetal transfusion were similar to those observed by others using spectrophotometric examination of amniotic fluid.
对99名患者在107次妊娠期间进行的142例宫内胎儿输血进行的严格审查，引发了对该手术绝对益处的质疑。出现了两个主要问题：做出决策所依据的诊断标准不充分，且与输血相关的胎儿死亡率很高，尤其是在28周之前进行输血时。我们通过生化方法测量羊水胆红素浓度，但宫内胎儿输血后的结果与其他人使用羊水分光光度检查所观察到的结果相似。
