Massive Fetomaternal Hemorrhage Secondary to Intrauterine Intravascular Transfusion

被引：3
|
作者：
Levy-Zauberman, Yael
Mailloux, Agnes
Kane, Aminata
Castaigne, Vanina
Cortey, Anne
Carbonne, Bruno [1 ]
机构：
[1] Hop St Antoine, Dept Obstet & Gynecol, F-75012 Paris, France
来源：
OBSTETRICS AND GYNECOLOGY | 2011年 / 118卷 / 02期
关键词：
RED-CELL ALLOIMMUNIZATION; MIDDLE CEREBRAL-ARTERY; PEAK SYSTOLIC VELOCITY; FETAL ANEMIA; DIAGNOSIS;
D O I：
10.1097/AOG.0b013e318212f935
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
BACKGROUND: Small-volume fetomaternal hemorrhage is frequently observed after intrauterine transfusion. The Kleihauer-Betke test, the reference method for identifying fetomaternal hemorrhage, cannot be used after intrauterine transfusion, because the adult red blood cells used for transfusion cannot be distinguished from maternal red blood cells. CASE: Massive fetomaternal hemorrhage secondary to intrauterine transfusion led to fetal hemorrhagic stroke. We used a method based on blood group identification in the maternal blood to confirm and to quantify fetomaternal hemorrhage. CONCLUSION: Fetal stroke may result from severe hypovolemia and low cerebral blood flow caused by fetomaternal hemorrhage, rather than from fetal anemia itself. (Obstet Gynecol 2011;118:439-42) DOI: 10.1097/AOG.0b013e318212f935
引用
收藏
页码：439 / 442
页数：4
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