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頁籤選單縮合
題 名 | Infants of Twin Pregnancies with One Twin Demise in the Uterus: A Retrospective Study=雙胞胎合併一胎死腹中:回溯性研究 |
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作 者 | 林英智; 陳昭惠; 王德明; 傅令嫻; 遲景上; | 書刊名 | 中華民國小兒科醫學會雜誌 |
卷 期 | 40:2 民88.03-04 |
頁 次 | 頁92-96+138 |
分類號 | 417.5 |
關鍵詞 | 雙胞胎; 單胎死腹中; 雙胞胎栓塞症候群; Twin pregnancies; Intrauterine single fetal demise; Twin embolization syndrome; |
語 文 | 英文(English) |
中文摘要 | 大部份文獻報告雙胞胎合併一胎死腹中會導致另一活產嬰兒發生併發症,回顧本院從1988 至1997十年間病歷記錄,共十七例雙胞胎合併一胎死腹中,佔所有雙胞胎中5.7%,其中共六例(35.3%) 併發急性腎衰竭:一例因急性腎衰竭死亡,另五例追蹤血液肌酸酐值恢復正常,五例(29.4%)發現有 異常腦部影像檢查:一例有多囊性腦質軟化,三例目前為腦性麻痺,我們把此十七病例分為有併發 症(n=8,47.1%)及沒有併發症(n=9,52.9%)而比較其出生體重,出生週數,生產方式,Apgar分數, 及胎盤種類,我們發現有併發症的病人出生五分鐘時Apgar分數較低(p=0.01),單一絨毛膜腔者其發 生併發症機會較雙絨毛膜腔者為高(62.5% vs 12.5%),因此我們認為雙胞胎合併一胎死腹中的確會增 加另一活產嬰兒發生併發症的機會,尤其是單一絨毛膜腔的雙胞胎,對於單一絨毛膜腔的雙胞胎合 併一胎死腹中且活產嬰兒Apgar分數較低者我們必須小心觀察是否有抽筋、血尿或腹部腫塊,必要 時安排腦部或腎臟超音波檢查,一旦發現有併發症,儘早做適當處理,以改善病人的預後。 |
英文摘要 | Many papers have reported that twin pregnancies with one twin demise in the uterus can cause complications in the surviving twin. We retrospectively reviewed charts from 1988 to 1997 at our hospital and found 17 of 302 twin deliveries with one twin intrauterine fetal death. The incidence of intrauterine death of a single twin was 5.7%. Six of the surviving twin (35.3%) had renal function impairment. One died due to acute renal failure. The other five patients recovered normal serum creatinine level. Five patients (29.4%) had abnormal brain imaging findings. One had multicystic encephalomalacia and microcephaly. Three of the five patients were complicated with cerebral palsy. After dividing the patients into complicated (n=8, 47.1%) and non-complicated (m=9, 52.9%) groups, we found that the patients with complication had lower Apgar score at 5 minutes and those with monochorionic diamniotic placenta had higher incidences of complication (62.5% vs 12.5%). We conclude that twin pregnancies with one fetal demise in the uterus do result in a higher incidence of complication in the surviving twin, especially if palcentation type is monochorionic diamniotic. In managing the surviving twin of the monozygous twin pregnancies with one fetal demise in the uterus, we must be careful to monoitor these patients. If complication was suspected, we should arrange the brain and kidney ultrasonography and manage these patients appropriately to decrease the complication risk. |
本系統中英文摘要資訊取自各篇刊載內容。