Lajarrige C, Adafer M, Yassine B, Atallah W, Mouthemy G, Klink R, Khoury M, Bouhelier P, Kremp L
Service de Pédiatrie, Centre Hospitalier Général, Laon.
Ann Pediatr (Paris). 1993 Jan;40(1):37-40.
A case of multicystic encephalomalacia in a twin is reported. The other twin died in utero at 32 weeks gestational age. Because there was no evidence of fetal distress the pregnancy was allowed to continue until 36 weeks gestational age. Injuries to the surviving twin due to disseminated intravascular coagulation (DIVC) and vascular thrombosis or to anoxia and ischemia may occur when there are anastomoses between the circulatory systems of the two twins, i.e., in monochorionic pregnancies. The classically recommended strategy is to wait for adequate maturity of the surviving fetus (36 weeks). It is suggested that this attitude may be overly expectant and may deserve reappraisal.
本文报告了一例双胞胎中的多囊性脑软化病例。另一双胞胎在孕32周时死于子宫内。由于没有胎儿窘迫的证据，妊娠得以继续至孕36周。当两个双胞胎的循环系统之间存在吻合时，即单绒毛膜妊娠时，存活的双胞胎可能会因弥散性血管内凝血（DIVC）、血管血栓形成或缺氧缺血而受伤。经典推荐的策略是等待存活胎儿足够成熟（36周）。有人认为这种态度可能过于乐观，值得重新评估。
