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双胎妊娠生长不一致的诊治 被引量:20

双胎妊娠生长不一致的诊治
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摘要 双胎生长不一致是双胎妊娠特有并发症,发生原因有多方面,无论单绒毛膜还是双绒毛膜双胎的不一致,胎盘和脐带因素越来越受关注。期待处理不仅仅是监测发展及适时终止妊娠,针对改善胎盘功能的抗凝治疗等主动性干预在目前还需更多探索。 Discordant growth twin is the unique complication of twin pregnancy. Several etiologies could give explanations. But, either in dichorionic or monochorionic twins, more and more placenta and umbilical cord factors responsible for discordant growth was observed. Expectant management is not only close monitoring and timely termination of pregnancy, positive interventions such as anticoagulation therapy for placenta dysfunction also need more exploration now.
作者 杨孜
出处 《中国实用妇科与产科杂志》 CAS CSCD 北大核心 2009年第6期420-424,共5页 Chinese Journal of Practical Gynecology and Obstetrics
关键词 双胎生长不一致 单绒毛膜双胎 双绒毛膜双胎 抗凝治疗 discordant growth twin monochorionictwin dichorionic twin anticoagulation therapy
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参考文献5

  • 1Fieni S,Gramellini D.Very-early-onset discordant growth in monochorionic twin pregnancy[J].Obstet Gynecol,2004,103:1115-1157.
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  • 4Demissie K,Ananth CV,Martin J,et al.Fetal and neonatal mortality among twin gestations in the United States:the role of intrapair birth weight discordance[J].Obstet Gynecol,2002,100(3):474-480.
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