CAJ | 학술논문

目的探讨双胎妊娠孕早、中期1胎死亡后期待治疗过程中的母儿监测及护理方法 .方法回顾性分析2003年7月至2008年7月,本院收治的17例孕早、中期经B超确诊双胎妊娠1胎宫内死亡病例的期待治疗结果及新生儿的转归.结果期待治疗时间为3～147天,平均80天,平均分娩孕周为35周,无一例出现明显凝血功能障碍.羊水过少和胎膜早破是常见并发症,胎盘因素是胎死宫内的重要原因.结论孕早、中期双胎之一胎死宫内后采取期待疗法,严密监测母儿的各项相关指标和并发症的条件下,配合积极的护理措施,可以尽可能延长存活胎儿在宫内生长的时间,提高存活胎儿的生存质量.
목적 탐토쌍태임신잉조、중기1태사망후기대치료과정중적모인감측급호리방법 .방법 회고성분석2003년7월지2008년7월,본원수치적17례잉조、중기경B초학진쌍태임신1태궁내사망병례적기대치료결과 급신생인적전귀.결과 기대치료시간위3～147천,평균80천,평균분면잉주위35주,무일례출현명현응혈공능장애.양수과소화태막조파시상견병발증,태반인소시태사궁내적중요원인.결론 잉조、중기쌍태지일태사궁내후채취기대요법,엄밀감측모인적각항상관지표화병발증적조건하,배합적겁적호리조시,가이진가능연장존활태인재궁내생장적시간,제고존활태인적생존질량.
Objective To investigate the monitoring and nursing for twin pregnancy with intrauterine single fetal death. Methods The expectant management and neonatal outcome of 17 cases of intrauterine death of twin which were diagnosed by ultrasonography from July 2003 to July 2008 were analyzed retrospectively. Results The period of expectant management was 3-147days. The average period was 80 days. The average delivery pregnancy week was 35 weeks. No one case developed blood coagulation dysfunction. The common complications were oligohydramnios and premature ruptures of membrane, the important reasons of intrauterine death was placental factor Conclusions Taking expectant management, comprehensive monitoring the related indexes and complication of pregnant and fetal of intrauterine death of twin and nursing measures can prolong the time of intrauterine growth of survival fetal and improve the quality of life of neonatal.