【摘要】：目的:探討胎盤(pán)血栓形成并發(fā)胎兒生長(zhǎng)受限(FGR)的臨床特點(diǎn),分析總結(jié)其診斷及治療方法。方法:結(jié)合文獻(xiàn)復(fù)習(xí),回顧性分析1例胎盤(pán)血栓形成并發(fā)FGR患者的臨床資料�；颊哂谠�32 1/7周因發(fā)現(xiàn)胎盤(pán)血竇1個(gè)月入院,超聲檢查提示FGR,病程中給予患者間斷低流量吸氧、靜脈輸注氨基酸和葡萄糖等營(yíng)養(yǎng)支持治療。結(jié)果:患者于孕35 2/7周行剖宮產(chǎn)術(shù),分娩一女性活嬰,體質(zhì)量1 280g,身長(zhǎng)32cm,胎盤(pán)母體面見(jiàn)多個(gè)血竇,最大直徑為3~4cm,胎盤(pán)肥厚,質(zhì)量540g。術(shù)后轉(zhuǎn)新生兒科,跟蹤隨訪1個(gè)月,新生兒可以自主進(jìn)食,檢測(cè)未見(jiàn)明顯異常,新生兒好轉(zhuǎn)出院。結(jié)論:胎盤(pán)血栓形成及并發(fā)FGR臨床常見(jiàn),其嚴(yán)重危害新生兒健康;早期診斷及合理治療可以改善妊娠結(jié)局。
[Abstract]:Objective: to investigate the clinical features of placental thrombosis complicated with fetal growth restriction (FGR) and to analyze and summarize its diagnosis and treatment. Methods: the clinical data of 1 case of placental thrombosis complicated with FGR were analyzed retrospectively. The patients were admitted to hospital at 321 to 7 weeks of gestation due to the discovery of placental sinus. Ultrasound examination showed that the patients were given intermittent low-flow oxygen inhalation, intravenous infusion of amino acids and glucose during the course of FGR,. Results: the patient underwent cesarean section at 352 to 7 weeks of gestation. She gave birth to a live baby with body mass of 1 280 g, body length of 32 cm and multiple blood sinuses in the face of placenta. The largest diameter was 3? 4 cm. The placenta was hypertrophic and weighed 540 g 路L-1. After operation, neonatal paediatrics, follow-up and follow-up for 1 month, newborn can eat autonomously, test no obvious abnormality, newborn improved and discharged. Conclusion: placental thrombosis and FGR are common in clinic, which seriously endanger the health of newborn, early diagnosis and reasonable treatment can improve pregnancy outcome.
【作者單位】： 吉林大學(xué)第二醫(yī)院婦產(chǎn)科;吉林省長(zhǎng)春市婦產(chǎn)醫(yī)院體檢中心;
【基金】：吉林省科技廳科技發(fā)展計(jì)劃項(xiàng)目資助課題(20130206057SF)
【分類(lèi)號(hào)】：R714.5

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4 沈歆e，

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