本文選題：鏡像綜合征 + 孕期管理��； 參考：《廣東醫(yī)學(xué)》2017年18期

【摘要】：目的通過分析鏡像綜合征的病因、臨床特點、防治及妊娠結(jié)局,探討其孕期管理。方法回顧性分析收治的16例鏡像綜合征患者臨床資料。結(jié)果 (1)胎兒水腫的原因:14例為Hb Bart's胎兒水腫綜合征,1例胎兒輕型α地中海貧血致胎兒貧血,1例胎兒肛門閉鎖;(2)最常見的母體癥狀是母體水腫(100.0%),其次是稀釋性貧血(93.8%)、低蛋白血癥(93.8%)、蛋白尿(68.8%)、高血壓(31.3%)、胸腔積液(18.8%)、肌酐升高(18.8%)、肝酶升高(18.8%)、腹腔積液(6.3%)、心包積液(6.3%),1例患者出現(xiàn)溶血尿毒癥綜合征及彌散性血管內(nèi)凝血,轉(zhuǎn)入MICU;(3)所有患者均痊愈出院;圍生兒均死亡,其中1例胎兒貧血,建議宮內(nèi)輸血治療,但是患者堅決放棄此次妊娠。結(jié)論鏡像綜合征可能嚴(yán)重威脅母胎預(yù)后,確診鏡像綜合征后,應(yīng)查找和糾正胎兒水腫的原因,如果不能找到或無法糾正胎兒水腫的原因,或在糾正胎兒水腫原因時母胎病情惡化,應(yīng)及時終止妊娠。
[Abstract]:Objective to analyze the etiology, clinical features, prevention and treatment and pregnancy outcome of mirror syndrome. Methods the clinical data of 16 cases of mirror syndrome were retrospectively analyzed. Results 1) the cause of fetal edema: 14 cases were HB Bart's fetal edema syndrome 1 case of fetal anemia caused by fetal mild 偽 thalassemia and 1 case of fetal anus atresia 2) the most common maternal symptom was maternal edema 100.0%, followed by dilute anemia. Blood 93.8m, hypoproteinemia 93.8m, proteinuria 68.8g, hypertension 31.3a, pleural effusion 18.8am, creatinine 18.8m, liver enzyme 18.8am, peritoneal effusion 6.30.pericardial effusion 6.33A, hemolytic uremia syndrome and disseminated intravascular coagulation, pericardial effusion 6.33a, hemolytic uremia syndrome and disseminated intravascular coagulation. All the patients were cured and discharged, and the perinatal infants died. One of the cases with fetal anemia was recommended for intrauterine blood transfusion, but the patient gave up the pregnancy resolutely. Conclusion Mirror syndrome may seriously threaten the prognosis of mother and fetus. After the diagnosis of mirror syndrome, the cause of fetal edema should be found and corrected, if the cause of fetal edema can not be found or can not be corrected. Or in correcting the cause of fetal edema when the maternal-fetal condition deteriorated, should be timely termination of pregnancy.
【作者單位】： 廣東省婦幼保健院產(chǎn)科;
【分類號】：R714.5

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