| 何丽娟,高 秋,曾 亮,古聪敏,施 全.双胎妊娠一胎宫内死亡的临床分析[J].,2018,(22):4350-4352 |
| 双胎妊娠一胎宫内死亡的临床分析 |
| Clinical Analysis of Single Intrauterine Fetal Demise of Twin Pregnancy |
| 投稿时间：2018-02-27 修订日期：2018-03-23 |
| DOI：10.13241/j.cnki.pmb.2018.22.034 |
| 中文关键词: 双胎妊娠 宫内死亡 临床病理 |
| 英文关键词: Twin pregnancy Intrauterine death Clinicopathology |
| 基金项目:医院医疗创新课题基金项目（5001-2170080） |
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| 中文摘要: |
| 摘要 目的：探讨双胎妊娠一胎宫内死亡的原因及处理方法。方法：对本院2013年1月～2017年6月住院分娩的双胎妊娠一胎宫内死亡的病例进行回顾性分析。结果：双胎妊娠一胎宫内死亡28例，占同期双胎分娩的1.63%，占同期双胎胎盘送检的4.33%。6例孕＜28周，14例孕28～34周，8 例孕周＞34周。全部孕产妇均无出血倾向或发生凝血功能障碍。产妇年龄23～45周岁，平均31.3周岁；初产妇23人，经产妇5人。应用辅助生殖技术受孕5例，自然受孕23例；剖宫产7例，顺产21例；确诊一胎儿死亡时间为孕12周余～34周余。主要致死原因为脐带因素13例次(46.43%)，胎盘因素12例次(42.86%)，双胎输血综合征及纸样胎共5例次(17.86%)，胎儿畸形4例次(18.18%)。结论：孕中晚期双胎之一胎儿宫内死亡妊娠不足34周，应在密切监护母胎情况下行期待治疗，单绒毛膜囊双胎34周后可以分娩，双绒毛膜囊双胎可妊娠至36周。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the causes and treatment of twin pregnancy fetal intrauterine death. Methods: One fetal intrauterine pregnancy death cases were retrospectively analyzedin our hospital from January 2013 to June 2017. Results: There were 28 cases of intrauterine death in twin pregnancy, which accounted for 1.63% of the double births in the same period, accounting for 4.33% of the double placenta examination in the same period. 6 cases were pregnant for less than 28 weeks, 14 cases were pregnant for 28~34 weeks, 8 cases were pregnant for more than 34 weeks with out bleeding tendency or coagulation dysfunction in all pregnant and lying in pregnant women. The age of parturients was 23~45 years old, the average age was 31.3 years old, 23 primiparas and 5 parturients. Assisted reproductive technology was applied in 5 cases of pregnancy, 23 cases of natural pregnancy, 7 cases of cesarean section and 21 cases of spontaneous delivery. The time of diagnosis of fetal death was 12 weeks to 34 weeks. The main causes of death were umbilical cord factor 13 times (46.43%), placental factor 12 times (42.86%), twin transfusion syndrome and pattern fetus 5 times (17.86%), fetal malformation 4 cases (18.18%). Conclusion: Intrauterine death of one of twins pregnancy in middle and late pregnancywere less than 34 weeks, and Pregnant woman was Suitable for treatment in closely monitoring maternal and fetal situation, childbirth after 34 weeks for monochorionic twin capsule, Double chorionic double fetuses can be pregnant to 36 weeks. |
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