文档介绍：多胎妊娠一胎死亡临床分析
冯菊梅,李媌,罗鸿(628017)
(四川省广元市第二人民医院)
【摘要】目的:探讨多胎妊娠一胎死亡的原因、诊断、处理。方法:回顾性分析我住院分娩多胎孕妇162例,分析9例多胎妊娠一胎死亡的临床资料。结果:胎儿死亡的原因:脐带因素4例,双胎输血综合征2例,胎盘因素2例,不明原因1例。本组阴道分娩2例,剖宫产7例。结论:在严密监测下,无产科并发症的多胎妊娠一胎死亡的活胎可以期待治疗,从而降低成活胎儿的病死率。
【关键词】多胎妊娠;宫内死胎;原因、处理
Clinical Analysis of Multiple Pregnancy with A Stillborn Foetus
Feng Ju Mei Li Miao Luo Hong
Department of Obstetrics and Gynecology,Second People’s Hospital of Guangyuan City
[Abstract] Objective To investigate the cause, multiple pregnancy with a stillborn foetus occurred in diagnosis, treatment. Methods Retrospective analysis of our hospital 162 multiple pregnant women cases, analysis of the clinical data of 9 cases of multiple pregnancy with a stillborn foetus. Results Causes of fetal death: 4 cases of umbilical cord factors, 2 cases of twin-twin transfusion syndrome, 2 cases of placental factors, 1 cases of unknown causes. There were 2 cases of vaginal delivery, cesarean section in 7 cases. Conclusion Under careful monitoring, The live fetus without plications of pregnancy with a stillborn foetus can expect treatment, thus reduce the mortality rate of survival fetus.
[Key Words] Multiple Pregnancy Stillborn Foetus Cause Treatment
多胎妊娠中一胎宫内死亡是一种罕见的妊娠并发症。随着B超的广泛应用,可以早期诊断,临床处理要防止死胎对活胎及母体凝血功能影响,又要兼顾活胎的成熟度,选择合适的终止妊娠时机及分娩方式。治疗要综合考虑,根据母亲和胎儿具体情况作出决定。现对本院9例多胎妊娠一胎死亡病例结果进行分析如下:
1 资料分析
1. 1 一般资料 1998年—2011年本院双胎分娩162例,其中一胎死亡9例,%。