论文部分内容阅读
目的探讨Bart’s水肿胎并发镜影综合征的临床特征。方法复习镜影综合征相关文献并对广州医学院第三附属医院1999年1月至2008年1月9例Bart’s水肿胎并发镜影综合征病例的临床特点及处理进行分析。结果 9例病例临床特点为发病在妊娠28～34周、不同程度的贫血、水肿、容量依赖性高血压、蛋白尿、低蛋白血症,产后出血发生率高;在临床处理上予以利尿、纠正低蛋白血症及终止妊娠后病情迅速缓解。结论 Bart’s水肿胎并发镜影综合征的孕妇临床显著特点为早发型子痫前期、贫血及低蛋白血症,处理的重点为终止妊娠、预防产后出血和纠正低蛋白血症,提示在处理此类患者时应高度重视此类特殊类型子痫前期所表现的临床异质性及临床可预防性。
Objective To explore the clinical features of Bart’s edema complicated with mirror syndrome. Methods To review the literature about mirror syndrome and analyze the clinical features and treatment of 9 cases of Bart’s edema complicated with mirror syndrome in the Third Affiliated Hospital of Guangzhou Medical College from January 1999 to January 2008. Results The clinical features of 9 cases were the incidence of anemia, edema, volume-dependent hypertension, proteinuria, hypoproteinemia and postpartum hemorrhage in 28-34 weeks of gestation. The incidence of postpartum hemorrhage was high. Diuretic and correction Hypoproteinemia and termination of pregnancy after the rapid relief of the disease. Conclusions The clinically significant features of pregnant women with Bartis’ hydatidiform mole complicated with mirror syndrome are early onset preeclampsia, anemia and hypoproteinemia. The treatment focuses on termination of pregnancy, prevention of postpartum hemorrhage and correction of hypoproteinemia, suggesting that in the treatment of such Patients should attach great importance to this particular type of preeclampsia showed clinical heterogeneity and clinical preventable.