de Jong M W, Pinas I M, van Eijck J
Dept. of Perinatal Medicine, Sophia Hospital Zwolle, Netherlands.
Eur J Obstet Gynecol Reprod Biol. 1995 Nov;63(1):91-4. doi: 10.1016/0301-2115(95)02213-q.
We report a case of delayed interval delivery in a twin pregnancy complicated by rupture of membranes, intrauterine infection and birth of one twin at 21 weeks gestation. Tocolysis combined with antibiotics and corticosteroids successfully prolonged pregnancy for 73 days, allowing the second twin to mature and reach viability. At 31.5 weeks gestation, a 1890 g healthy male neonate was born with good Apgar scores. His postnatal course was uneventful. A literature review of several other cases of delayed interval delivery is presented. When multifetal pregnancies are complicated by immature birth of one fetus, delayed interval delivery may offer survival chances and favourable outcome for the remaining fetus(es).
我们报告一例双胎妊娠延迟间隔分娩的病例,该病例合并胎膜破裂、宫内感染,且其中一个胎儿在妊娠21周时出生。宫缩抑制剂联合抗生素和皮质类固醇成功延长了妊娠73天,使第二个胎儿成熟并达到存活状态。在妊娠31.5周时,一名体重1890克的健康男婴出生,阿氏评分良好。他的产后过程顺利。本文还对其他几例延迟间隔分娩的病例进行了文献综述。当多胎妊娠合并一个胎儿早产时,延迟间隔分娩可能为其余胎儿提供存活机会和良好结局。