与胎儿心肌病相关的镜像综合征。

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL Archive of clinical cases Pub Date : 2023-12-14 eCollection Date: 2023-01-01 DOI:10.22551/2023.41.1004.10273
Petra Glad Štritof, Lucija Zanze, Paulo Zekan, Gordana Horvat, Vladimir Blagaic
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引用次数: 0

摘要

镜像综合征是由胎儿水肿引起的产妇全身水肿的一种罕见病症。一名 37 岁的患者因怀疑胎儿心肌病导致镜像综合征而被送入我院。妊娠 26 周时,患者出现双侧肺水肿,病情迅速恶化。最后,患者经阴道分娩出死胎。虽然产后初期因出血而严重并发症,但患者的病情后来明显好转,并于产后七天出院。我们认为这个病例值得介绍,因为它非常罕见,而且在治疗这些患者时,围产期和产科都面临巨大挑战。此外,植入前基因检测至少可以预防部分病例的发生。
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Mirror syndrome associated with fetal cardiomyopathy.

Mirror syndrome is a rare condition of generalized maternal oedema caused by fetal hydrops. A 37-year-old patient was admitted to our hospital because of suspected mirror syndrome caused by fetal cardiomyopathy. At 26th week of gestation patient developed bilateral pulmonary oedema as her condition rapidly deteriorated. Consequently, preterm labor was induced, percutaneous evacuation of fetal ascites was performed, and the patient finally vaginally delivered stillborn fetus. Although the initial postpartum period was severely complicated by hemorrhage, the condition of the patient significantly improved later, and she was discharged seven days after delivery. We believe this case is worth presenting due to its rarity and significant perinatal and obstetric challenges in treatment of those patients. Furthermore, preimplantation genetic testing could be performed to prevent at least some of the cases.

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