Uchide K, Suzuki N, Murakami K, Terada S, Inoue M
Department of Obstetrics and Gynecology, Kanazawa University, School of Medicine, Ishikawa, Japan.
Am J Perinatol. 1997 May;14(5):281-3. doi: 10.1055/s-2007-994144.
Nonimmune hydrops fetails diagnosed at 21 weeks' gestation with profound ascites, hydrothorax, and pericardial effusion receded gradually with regression of a subchorial placental lucencies immediately below the umbilical cord insertion. Careful inspection of the delivered placenta revealed that there was a yellowish lesion of fibrin deposits below the cord insertion site, which resulted from the absorption of hematoma. A subchorial placental hematoma, which detected as a subchorial placental lucencies by ultrasonography, can be a cause of reversible nonimmune hydrops fetalis.
妊娠21周时诊断为非免疫性胎儿水肿,伴有大量腹水、胸腔积液和心包积液,随着脐带插入处正下方绒毛膜下胎盘透亮区的消退而逐渐减轻。仔细检查娩出的胎盘发现,脐带插入部位下方有一个由血肿吸收导致的黄色纤维蛋白沉积病变。绒毛膜下胎盘血肿通过超声检查表现为绒毛膜下胎盘透亮区,可能是可逆性非免疫性胎儿水肿的一个原因。