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題名 | Severe Anemia in a Newborn due to Massive Fetomaternal Hemorrhage: Report of One Case=胎兒母體出血導致嚴重新生兒貧血:一病例報告 |
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作者姓名(中文) | 曾洛琳; Antonio M. I. Didone; 陳朝賢; | 書刊名 | 臺灣兒科醫學會雜誌 |
卷期 | 46:5 民94.09-10 |
頁次 | 頁305-307+334 |
分類號 | 417.517 |
關鍵詞 | 竇樣狀圖像; 宮縮晚期心跳減速; Kleihauer-betke試驗; 胎兒母體出血; Sinusoidal waveform; Late deceleration; Kleihauer-betke test; Fetomaternal hemorrhage; |
語文 | 英文(English) |
中文摘要 | 在懷孕週期中,母體內可以偵測到極少量的胎兒血球是極為常見的,但大量的胎兒母體輸血情形卻極為罕見。本病例是一35歲的母親在懷孕38 5/7週時因胎動減少下,無預期產出一重度貧血之新生兒。在產前的臨床表現上,胎兒有減少胎動的情形,胎兒心跳監測儀呈現sinusoid 圖像及心跳延遲減速的情形,再配合母體抽血作Kleihauer-Betke測驗,可以提早得知是否有胎兒母體輸血所導致之嚴重新生兒貧血,以進行迅速之診療計劃。 |
英文摘要 | We report a case of a newborn with unexpected severe anemia. A woman, at 38 5/7 weeks of gestational age, presented with decreased fetal movement. A sinusoidal fetal heartbeat waveform and late deceleration pattern on fetal monitoring strengthened the decision for emergent Cesarean section. Using the frequency of fetal movement and the fetal heart monitoring pattern, together with detecting fetal hemoglobin in maternal blood circulation by the Kleihauer-Betke test and hemoglobin electrophoresis, fetomaternal hemorrhage can be detected earlier and provide for better fetal outcomes. |
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