双胎妊娠第二胎延迟分娩三例及文献复习  

Delayed Interval Delivery of the Twin:Three Cases Report and Literature Review

作　　者：刘广谱 张惠欣[1] LIU Guang-pu;ZHANG Hui-xin(The Fourth Hospital of Hebei Medical University,Shijiazhuang 050000,China)

机构地区：[1]河北医科大学第四医院,石家庄050000

出　　处：《国际生殖健康／计划生育杂志》2020年第5期387-390,共4页Journal of International Reproductive Health/Family Planning

摘　　要：双胎妊娠第二胎延迟分娩(delayed interval delivery of the twin,DIDT)是指双胎妊娠中第一个胎儿发生流产或早产后,通过保守治疗延长第二个胎儿的分娩间隔时间。本文报道河北医科大学第四医院东院产科收治的3例DIDT患者,第一个胎儿娩出后给予抗炎、保胎、促胎肺成熟等治疗,不同程度地延长了第二个胎儿的分娩间隔时间。延迟分娩处理得当可明显改善第二个胎儿的围生结局,已成为双胎妊娠中一胎流产或早产后处理的重要措施。由于延迟分娩中母婴均面临诸多并发症风险,故应在与患者及家属充分沟通、权衡利弊后实施。The delayed interval delivery of the twin(DIDT)refers to the extension of the delivery interval of the second fetus(F2)through conservative treatment after miscarriage or premature delivery of the first fetus(F1)in a twin pregnancy.We report three cases of DIDT from our hospital.The delivery interval of F2 was extended to varying degrees by the comprehensive treatment with anti-inflammatory,tocolytic and lung maturation promoting agents after the delivery of F1.The appropriate treatment of the delayed delivery of F2 can significantly improve the perinatal outcome of F2,which is an important measure for the F1 miscarriage or preterm delivery of twin pregnancy.For the risk of many complications in the delayed delivery of F2,both mother and relatives should be fully communicated.After weighting the advantages and disadvantages,the delayed delivery of F2 can be tried in those hospitals with the ability to treat newborns,in which the DIDT indications should be strictly mastered,the infectious index closely monitored,the complications timely found,and the termination of pregnancy be asked duly.

关 键 词：妊娠 双胎 早产 分娩 过早 双胎妊娠第二胎延迟分娩 病例报告 

分 类 号：R714.23[医药卫生—妇产科学]