脊髓损伤诊断的主要分期

Kostyantyn Deinichenko, Anton Mladyonov
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摘要

并发胎儿心动过缓,在紧急剖宫产手术中以产时胎儿死亡结束。剖宫产3例,顺产2例。都是早产。1例患儿术后发生胎内死亡,1例患儿2个月后死亡,其余均存活。结论。对高危患者应进行以下研究:超声、胎儿多普勒测定、感染筛查、Rh免疫期间的抗体滴度。治疗方法需要多学科和高质量的辅助,以核型为目的的脐带穿刺术,依赖于检测到的感染的药物治疗(抗生素治疗,人免疫球蛋白),羊水过多的羊膜切除术,溶血性贫血的宫内输血,经腹胸穿刺或胸-羊膜分流治疗胎儿胸水,以及寻找新的侵入性方法和途径。因为胎儿积液很难保守治疗。
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THE MAIN STAGES OF DIAGNOSIS IN SPINAL INJURY
complicated by bradycardia in the fetus and ended with intrapartum fetal death in an emergency caesarean section. In 3 patients birth were performed by caesarean section, and in 2 cases, birth were performed by natural birth ways. All of them preterm birth. 1 case was followed by intranatal fetal death, 1 child died after 2 months, and all the rest were alive. Conclusions. The following studies should be carried out for patients at risk: ultrasound, fetal dopplerometry, screening for infection, antibody titer during Rh immunization. Treatment methods require a multidisciplinary and highly qualified assistance in the form of cordocentesis with purpose of karyotyping, drug treatment in dependence on the detected infection ( antibiotic therapy, human immunoglobulin), amnioreduction for polyhydramnios, intrauterine blood transfusion for hemolytic anemia, transabdominal thoracocentesis or thoraco-amniotic shunt for fetal hydrothorax, and the search for new invasive methods and approaches, because hydrops fetalis is difficult to treat conservatively.
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