15例多胎妊娠晚期死胎与活胎并存的临床结局  

Clinical observation and management of 15 multiple pregnant women with fetal death coexisted with active fetal in late stage

作　　者：刘畅[1] 黄健容[1] 刘禄斌[1] 

机构地区：[1]重庆市妇幼保健院,400013

出　　处：《重庆医学》2009年第24期3065-3066,共2页Chongqing medicine

摘　　要：目的探讨多胎妊娠晚期死胎与活胎并存的期待治疗及可行性。方法对15例多胎妊娠晚期死胎与活胎并存的临床资料进行回顾性分析。结果多胎妊娠晚期发生死胎与活胎并存发生率为3.30%。多胎中宫内死亡的常见原因有脐带因素、胎儿畸形、双胎输血综合征、胎盘梗死等。期待治疗时间3h至98d不等,存活胎儿均活产。结论对于多胎妊娠晚期死胎与活胎并存情况,可在密切监测母体情况下,采取期待疗法,促进生存胎儿的生长和成熟,择期终止妊娠。Objective To investigate the feasibility of expectant management for multiple pregnancy with fetal death coexisted with active fetal in late stage. Methods The clinical data of 15 multiple pregnant women with fetal death coexisted with active fetal in late stage were retrospectively reviewed. Results The incidence of multiple pregnancy with fetal death coexisted with active fetal in late stage was 3.30 %. The usual causes of intrauterine feat[ death were umbilical cord factors, fetal malformation, twin-twin transfusion syndrome,placental infarction. The time of expectant management was 3h to 98d. The active fetals were all live birth. Conclusion To the multiple pregnancy with fetal death coexisted with active fetal,we can take the expectant management monitoring the maternal situation,promote the growth and maturation of actively fetal and selective terminate pregnancy.

关 键 词：多胎妊娠 死胎 期待疗法 

分 类 号：R714.23[医药卫生—妇产科学]