Disseminated intravascular coagulation complicated by amniotic band syndrome associated with deceased fetal umbilical cord following fetoscopic laser surgery
Disseminated intravascular coagulation complicated by amniotic band syndrome associated with deceased fetal umbilical cord following fetoscopic laser surgery
复制标题
胎儿镜激光手术后与死亡胎儿脐带相关的羊膜带综合征并发弥散性血管内凝血
DOI：
10.1111/jog.15281
复制
发表时间：
2022
影响因子：
1.6
通讯作者：
Fujiwara Hiroyuki
中科院分区：
文献类型：
--
作者：
Ogoyama Manabu;Takahashi Hironori;Kagawa Keiko;Shimozawa Hironori;Yada Yukari;Wada Seiji;Sago Haruhiko;Fujiwara Hiroyuki
胎儿镜激光手术偶尔会引起羊膜带综合征，其中羊膜破裂收缩胎儿身体部位，导致功能或形态丧失。我们报告一例较大的幸存双胞胎在妊娠31周胎儿窘迫后，胎儿镜激光手术选择性宫内生长限制，需要紧急剖宫产。婴儿的体格检查显示，由于手指上的羊膜破裂而造成的收缩环，右食指远端由于羊膜带与已故较小的双胞胎的脐带紧密绞合而坏死。实验室数据显示严重凝血功能障碍，婴儿被诊断为弥散性血管内凝血（DIC）。立即治疗改善了他的病情。DIC可能与坏死的手指有关，该手指被死亡胎儿的脐带勒死，因为既没有发现母体凝血功能障碍，也没有发现潜在的新生儿疾病。
Fetoscopic laser surgery occasionally causes amniotic band syndrome, in which the disrupted amniotic membrane constricts fetal body parts, leading to functional or morphological loss. We report a case of fetal distress at 31 weeks of gestation in the larger surviving twin after fetoscopic laser surgery for selective intrauterine growth restriction, necessitating emergent cesarean section. Physical examination of the infant showed constriction rings caused by a disrupted amniotic membrane on the digits, and the distal part of the right index finger was necrotic because of tight strangulation by an amniotic band with the umbilical cord of the deceased smaller twin. Laboratory data showed severe coagulopathy, and the infant was diagnosed with disseminated intravascular coagulation (DIC). Immediate treatment improved his condition. DIC may have been associated with the necrotic finger, which was strangulated by the umbilical cord of the deceased fetus, because neither maternal coagulopathy nor an underlying neonatal disorder was detected.
登录
查看更多内容
假羊膜带综合征：单绒毛膜三胞胎的罕见并发症，伴有双胎输血综合征
影响因子：
3
作者：
A. Shamshirsaz;A. Shamshirsaz;U. Nayeri;M. Bahtiyar;M. Belfort;W. Campbell
通讯作者：
W. Campbell
胎儿镜下释放四肢羊膜带，有截肢的风险。
DOI：
10.1097/bpo.0b013e31819c405f
发表时间：
2009
期刊：
Journal of pediatric orthopedics
影响因子：
--
作者：
F. Soldado;M. Aguirre;J. Peirò;E. Carreras;S. Arévalo;C. Fontecha;R. Vélez;I. Barber;V. Martínez
通讯作者：
V. Martínez
影响因子：
2.4
作者：
CROMBLEHOLME, TM;DIRKES, K;CONNELLY, RJ
通讯作者：
CONNELLY, RJ
影响因子：
2.2
作者：
Takano, Mayumi;Nakata, Masahiko;Morita, Mineto
通讯作者：
Morita, Mineto
病例报告：新生儿扭转性卵巢囊肿
DOI：
10.14744/semb.2018.48154
发表时间：
2019
期刊：
Şişli Etfal Hastanesi tıp Bülteni
影响因子：
--
作者：
Duygu Acar;Evrim Kıray Baş;A. Bülbül;M. Demir;S. Uslu
通讯作者：
S. Uslu