Richards D S, Bennett B B
Department of Obstetrics and Gynecology, University of Florida College of Medicine, Gainesville, USA.
Ultrasound Obstet Gynecol. 1998 May;11(5):364-6. doi: 10.1046/j.1469-0705.1998.11050364.x.
Massive subchorionic thrombohematoma is a rare condition in which a large maternal blood clot separates the chorionic plate from the villous chorion. This condition is usually complicated by intrauterine growth restriction, and is often associated with fetal distress and perinatal death. We present a case in which the diagnosis of massive subchorionic thrombohematoma was made at 24 weeks' gestation. Doppler ultrasound helped to confirm the diagnosis and demonstrated severely abnormal umbilical blood flow. Two days after the diagnosis, fetal distress prompted emergency Cesarean delivery of a growth-restricted infant.
巨大绒毛膜下血栓血肿是一种罕见病症，即大量母体血凝块将绒毛膜板与绒毛膜绒毛分离。这种病症通常并发宫内生长受限，且常伴有胎儿窘迫和围产期死亡。我们报告一例在妊娠24周时诊断为巨大绒毛膜下血栓血肿的病例。多普勒超声有助于确诊，并显示脐血流严重异常。诊断两天后，胎儿窘迫促使对一名生长受限的婴儿进行急诊剖宫产。
