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題 名 | Second Trimester Selective Termination in a Dizygotic Twin Pregnancy with Discordancy for Down's Syndrome: A Case Report=異卵雙胞胎合併一個胎兒唐氏症妊娠中期選擇性減胎術後足月生產一個正常胎兒:一病例報告 |
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作 者 | 周明明; 何彥秉; 何師竹; | 書刊名 | 中華醫學雜誌 |
卷 期 | 61:3 民87.03 |
頁 次 | 頁159-163 |
分類號 | 417.37 |
關鍵詞 | 唐氏症; 選擇性減胎術; 雙胞胎; Down's syndrome; Selective termination; Twin pregnancy; |
語 文 | 英文(English) |
中文摘要 | 本案例為一位34歲雙胞胎懷孕之女性,於妊娠18週時,因高齡接受羊膜腔穿刺術,作染色體檢驗。胎兒染色體檢查結果呈現一名正常男性胎兒(46,XY)及另一名唐氏症男性胎兒(47,XY,十21)。超音波檢查顯示,正常胎兒之頸項厚度為4.4mm,而唐氏症胎兒之頸項厚度為8.0mm。妊娠21週時,在超音波引導下,以15公分長之22號針頭,穿刺唐氏症胎兒之心臟,注射2.5ml(5mEq)氯化鉀溶液進行減胎術。術後系列超音波追蹤,及孕婦血液凝集功能測試,均未異常顯示。在妊娠39週時進行引產,成功產下一健康男嬰,體重3080公克,Apgar Scorc在1分鐘及5分鐘分別為8分及9分,產後一個月追蹤小兒及產婦均健康良好。就目前為止,此例為國內雙胞胎合併單胎唐氏症兒,進行妊娠中期選擇性減胎術,以後成功生產之第二個報告案例。 |
英文摘要 | A 34-year-old woman with a twin pregnancy underwent genetic amniocentesis in a local hospital at 18 weeks' gestation. Fetal chromosome analysis showed a boy without abnormal findings (46, XY) and another boy with trisomy 21 (47, XY, +21). Sonography showed a fetal nuchal translucency thickness for the normal twin of 4.4 mm, and of 8.0 mm for the affected twin. The affected twin was terminated by ultrasonographically guided intracardiac injection of 2.5 ml (5 mEq) potassium chloride solution at 21 weeks' gestation. Serial ultrasound scans and coagulopathy tests were unremarkable. Labor was induced at 39 weeks' gestation. A healthy 3,080 g male infant was born vaginally with Apgar scores of 8 and 9 at one and five minutes, respectively. At the time of writing (one month after delivery), the mother and baby continue to do well. To our knowledge, this is the second successful case in Taiwanese literature of selective birth in twins with discordancy for Down's syndrome. |
本系統中英文摘要資訊取自各篇刊載內容。