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胎儿细小病毒B19感染与胎粪性腹膜炎。

Fetal parvovirus B19 infection and meconium peritonitis.

作者信息

Schild R L, Plath H, Thomas P, Schulte-Wissermann H, Eis-Hübinger A M, Hansmann M

机构信息

Department of Fetal Diagnosis and Therapy, Center of Obstetrics and Gynecology, University Hospital, Bonn, Germany.

出版信息

Fetal Diagn Ther. 1998 Jan-Feb;13(1):15-8. doi: 10.1159/000020794.

DOI:10.1159/000020794
PMID:9605610
Abstract

A 33-year-old primigravida at 26 weeks gestation presented with fetal hydrops and fetal anemia following prior parvovirus B19 infection. The fetus required two intrauterine transfusions of packed red cells. At 35 weeks gestation, a cesarean section was performed for obstetric reasons. As a consequence of a prenatal bowel perforation, the neonate developed meconium peritonitis, for which she needed laparotomy. This case demonstrates that there may be an association between intrauterine parvovirus infection and meconium peritonitis, the latter possibly caused by vascular injury in fetal life.

摘要

一名33岁初产妇,孕26周,此前感染过细小病毒B19,出现胎儿水肿和胎儿贫血。胎儿需要进行两次宫内红细胞悬液输血。孕35周时,因产科原因行剖宫产。由于产前肠穿孔,新生儿发生胎粪性腹膜炎,为此她需要接受剖腹手术。该病例表明,宫内细小病毒感染与胎粪性腹膜炎之间可能存在关联,后者可能是由胎儿期血管损伤所致。

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