胎母输血综合征的诊治

胎母输血综合征是发生于妊娠期的并发症，目前病因不甚清楚，初期胎儿可代偿而无明显表现，失代偿会出现胎动减少或消失、胎心监护出现正弦曲线以及水肿胎等表现，可通过Kleihauer-Betke试验及流式细胞仪诊断。确诊病例需针对胎儿具体情况进行宫内输血或终止妊娠，及时纠正胎儿或新生儿贫血，提高围产儿的存活率，改善预后。

Diagnosis and therapy of fetomaternal hemorrhage syndrome

Fetomaternal hemorrhage syndrome is a complication occurring during pregnancy, and the etiology is not clear at present. Initially, the fetus can be compensated without obvious manifestations. At decompensation stage, fetal movement may reduce or disappear, sinusoidal fetal heart monitoring or fetal edema appear. The disease can be diagnosed by Kleihauer-Betke test and flow cytometry. According to the condition of the fetus, implement intrauterine blood transfusion or termination of pregnancy, correct fetal or neonatal anemia timely, which can improve perinatal survival rate and prognosis.