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胎母输血综合征(fetomaternal hemorrhage,FMH)是指一定量的胎儿血液通过破损的胎盘绒毛进入母体血循环,引起胎儿不同程度的失血及母亲和胎儿溶血性反应的临床征候群,该病是一种少见的产科疾病,是胎儿非免疫性水肿的主要病因之一。本病发病隐匿,缺乏特异性先驱症状,临床上不易做出早期诊断,故围生儿死亡率较高。其临床表现多是胎母输血综合征的晚期表现,围生儿死亡率高达33%~50%。K-B试验等检查可以辅助诊断,一旦诊断明确,应立即采取个体化治疗方案,目前多采用宫内输血治疗。
Fetalternal hemorrhage (fetomaternal hemorrhage, FMH) refers to a certain amount of fetal blood through the broken placental villi into the maternal blood circulation, causing different levels of fetal blood loss and maternal and fetal hemolytic reaction clinical syndrome, the disease is a A rare obstetric disease is one of the major causes of fetal non-immune edema. The incidence of occult disease, the lack of specific precursor symptoms, clinical diagnosis is not easy to make early, so perinatal mortality is higher. Its clinical manifestations are mostly late manifestation of maternal blood transfusion syndrome, perinatal mortality as high as 33% to 50%. K-B test and other tests can help diagnose, once the diagnosis is clear, should immediately take individualized treatment options, the current use of intrauterine transfusion more treatment.