NEJM:脐带打结-病例报道

2020-08-13 MedSci原创 MedSci原创

脐带打结与分娩期并发症和胎儿窘迫有关。 在这种单绒毛膜双胞胎病例中,脐带中出现的复杂打结现象很少见。

患者为一名单绒毛膜、单羊膜双胎妊娠的36岁妇女,在妊娠32周时入院,计划进行剖宫产。

产前过程并无明显症状,手术前常规心动图检查发现双胞胎中一名胎儿心率剧烈变化。另一名双胞胎胎儿的胎心轨迹正常。随后进行了剖腹产,并分娩出双胞胎女孩。双胞胎两人的Apgar得分都分别为1分钟时为7分和5分钟时为8分。

分娩后可见脐带上有复杂的结缠绕。脐带血的血气分析结果正常。脐带打结与分娩期并发症和胎儿窘迫有关。在这种单绒毛膜双胞胎病例中,脐带中出现的复杂打结现象很少见。

双胞胎被送入新生儿重症监护室,并在40天后均出院。

原始出处:

Francesca Arezzo,et al.Umbilical Cord Knot.N Engl J Med 2020;https://www.nejm.org/doi/full/10.1056/NEJMicm1916811

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