Thigpen J
Emory University School of Medicine, Division of Newborn Medicine, Atlanta, Georgia, USA.
Neonatal Netw. 1996 Dec;15(8):35-9.
Multiple gestations account for 10 to 12 percent of perinatal deaths. Of all intrauterine deaths in twins, 73 percent are associated with monochorionic placentation. Monochorionic twins have higher rates of perinatal mortality, birthweight discordancy, and intrauterine growth retardation than do dichorionic twins. Follow-up studies indicate that twins remain at a disadvantage for subsequent growth and intellectual achievement. The history and hospital course of a set of discordant twins is presented, describing the extensive morbidity and prolonged hospitalization.
多胎妊娠占围产期死亡的10%至12%。在所有双胎宫内死亡中，73%与单绒毛膜胎盘形成有关。与双绒毛膜双胎相比，单绒毛膜双胎的围产期死亡率、出生体重不一致率和宫内生长迟缓率更高。随访研究表明，双胎在随后的生长和智力发育方面仍处于劣势。本文介绍了一对不一致双胎的病史和住院过程，描述了其广泛的发病情况和延长的住院时间。
