本文選題：非免疫性胎兒水腫+胎兒水腫綜合征��；參考：《現(xiàn)代婦產(chǎn)科進(jìn)展》2017年08期

【摘要】：目的:探討非免疫性胎兒水腫的特點(diǎn)、臨床處理及預(yù)后。方法:回顧分析2010年7月至2015年6月就診于南京醫(yī)科大學(xué)第一附屬醫(yī)院產(chǎn)科的20例胎兒水腫孕婦資料、胎兒情況及新生兒情況。結(jié)果:20例胎兒水腫均為非免疫性胎兒水腫。發(fā)現(xiàn)時(shí)間:妊娠14+~37+周;早孕發(fā)現(xiàn)2例,中孕發(fā)現(xiàn)4例,晚孕發(fā)現(xiàn)14例。有胸腔積液表現(xiàn)17例,腹水表現(xiàn)9例,皮膚水腫表現(xiàn)11例,羊水過多9例;臍動(dòng)脈舒張期血流缺失3例,超聲發(fā)現(xiàn)胎兒畸形4例。胎兒水腫綜合征12例:7例流產(chǎn)、引產(chǎn);其余為死胎、死產(chǎn)、新生兒死亡;不典型胎兒水腫8例:2例新生兒死亡,2例失訪,4例預(yù)后良好。結(jié)論:部分非免疫性胎兒水腫的確切原因不明確;臨床表現(xiàn)多樣,胎兒水腫綜合征預(yù)后不良,孕產(chǎn)婦對(duì)胎兒期望值各不相同,需針對(duì)不同情況,采取不同的監(jiān)測(cè)、分娩、救治措施。
[Abstract]:Objective: to investigate the characteristics, clinical management and prognosis of non-immune fetal edema.Methods: from July 2010 to June 2015, 20 cases of fetal edema in obstetrics department of the first affiliated Hospital of Nanjing Medical University were retrospectively analyzed.Results 20 cases of fetal edema were non-immune fetal edema.The discovery time was 14 weeks, 2 cases were found in early pregnancy, 4 cases were found in middle pregnancy and 14 cases were found in late pregnancy.Pleural effusion was found in 17 cases, ascites in 9 cases, skin edema in 11 cases, amniotic fluid in 9 cases, umbilical artery diastolic blood flow deficiency in 3 cases, fetal malformation in 4 cases.Fetal edema syndrome was found in 12 cases (7 miscarriages, induced labor), stillbirth, stillbirth, neonatal death, atypical fetal edema (8: 2) and neonatal death (2 cases).Conclusion: the exact causes of partial non-immune fetal edema are not clear, the clinical manifestations are diverse, the prognosis of fetal edema syndrome is poor, and the expectant value of pregnant and parturient is different, so we should take different monitoring and delivery according to different conditions.Treatment measures
【作者單位】： 南京醫(yī)科大學(xué)第一附屬醫(yī)院產(chǎn)科;
【基金】：國(guó)家自然科學(xué)基金(No:81270700)
【分類號(hào)】：R714.5

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