胎盘血栓形成并发胎儿生长受限1例报告并文献复习  

Placental thrombosis complicated with fetal growth restriction:A case report and literature review

作　　者：沈歆旸 郑桂英[1] 贾赞慧[1] 孙鸽[1] 康力文[2] 吴富菊[1] SHEN Xinyang ZHENG Guiying JIA Zanhui SUN Ge KANG Liwen WU Fuju(Department of Obstetrics and Gynecology, Second Hospital, Jilin University, Changchun 130041, China Center of Physical Examination, Changchun Obstetrics-Gynecology Hospital, Jilin Province, Changchun 130041, China)

机构地区：[1]吉林大学第二医院妇产科,吉林长春130041 [2]吉林省长春市妇产医院体检中心,吉林长春130041

出　　处：《吉林大学学报（医学版）》2017年第2期425-428,共4页Journal of Jilin University：Medicine Edition

基　　金：吉林省科技厅科技发展计划项目资助课题(20130206057SF)

摘　　要：目的:探讨胎盘血栓形成并发胎儿生长受限(FGR)的临床特点,分析总结其诊断及治疗方法。方法:结合文献复习,回顾性分析1例胎盘血栓形成并发FGR患者的临床资料。患者于孕32 1/7周因发现胎盘血窦1个月入院,超声检查提示FGR,病程中给予患者间断低流量吸氧、静脉输注氨基酸和葡萄糖等营养支持治疗。结果:患者于孕35 2/7周行剖宫产术,分娩一女性活婴,体质量1 280g,身长32cm,胎盘母体面见多个血窦,最大直径为3~4cm,胎盘肥厚,质量540g。术后转新生儿科,跟踪随访1个月,新生儿可以自主进食,检测未见明显异常,新生儿好转出院。结论:胎盘血栓形成及并发FGR临床常见,其严重危害新生儿健康;早期诊断及合理治疗可以改善妊娠结局。Objective：To investigate the clinical features of placental thrombosis complicated with fetal growth restriction（FGR）,and to analyze its diagnosis and treatment methods.Methods：Combined with reviewing the relevant literatures,the clinical data of a case of placental thrombosis complicated with FGR was retrospectively analyzed.The patient with 32 1/7weeks of gestation was hospitalized due to placental blood sinus found one month ago;at the same time FGR was found by ultrasound examination.The patient was intravenously given nutritional support treatment such as amino acid and glucose.At the same time,the patient was continuously given low-flow oxygen.Results：The patient received cesarean section at 35 2/7weeks of gestation and a baby girl with 1 280 g weight and 32 cm length was gained;many blood sinus in the maternal surface of placenta were seen with the largest diameter of 3-4cm;the placenta was hypertrophic,weighted 540 g.After operation,the newborn was transferred to Department of Neonatology and followed up for 1 month.1 month later,the infant could eat by herself,other physical examinations were finished without any obvious abnormal findings and the newbron discharged from hospital after recovery.Conclusion：Placental thrombosis complicated with FGR is very common in clinic and this disease severely endangers the neonatal health.Early diagnosis and reasonable treatment can improve the pregnancy outcomes.

关 键 词：胎儿生长受限 胎盘血栓 静脉输液 

分 类 号：R714.43[医药卫生—妇产科学]