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双胎贫血-红细胞增多序列征新生儿喂养不耐受3例总结
引用本文:胡璟,汪吉梅. 双胎贫血-红细胞增多序列征新生儿喂养不耐受3例总结[J]. 临床儿科杂志, 2019, 37(9): 649-651. DOI: 10.3969/j.issn.1000-3606.2019.09.003
作者姓名:胡璟  汪吉梅
作者单位:复旦大学附属妇产科医院新生儿科 上海 200011;复旦大学附属妇产科医院新生儿科 上海 200011
摘    要:目的探讨双胎贫血-红细胞增多序列征新生儿喂养情况。方法回顾分析3例喂养不耐受的双胎贫血-红细胞增多序列征新生儿的临床资料。结果 3例生后确诊为双胎贫血-红细胞增多序列征的单绒毛膜双胎早产的供血儿,在喂养过程中都出现了喂养不耐受的临床表现,而3例受血儿的喂养过程顺利。结论单绒毛膜双胎妊娠,若存在宫内慢性双胎输血,产后需密切关注新生儿的喂养问题,尤其双胎供血儿。

关 键 词:双胎贫血-红细胞增多序列征  双胎输血  喂养不耐受  新生儿

Feeding intolerance in twin anemia-polycythemia sequence in 3 newborns
HU Jing,WANG Jimei. Feeding intolerance in twin anemia-polycythemia sequence in 3 newborns[J]. The Journal of Clinical Pediatrics, 2019, 37(9): 649-651. DOI: 10.3969/j.issn.1000-3606.2019.09.003
Authors:HU Jing  WANG Jimei
Affiliation:Department of Neonatology, Obstetrics and Gynecology Hospital of Fudan University, Shanghai 200011, China
Abstract:Objective To explore the feeding status in newborns with twin anemia-polycythemia sequence (TAPS). Methods The clinical data of TAPS with feeding intolerance in 3 newborns were retrospectively analyzed. Results In 3 preterm monochorionic twins who were diagnosed with TAPS after birth, feeding intolerance occurred during the feeding process in three donors, and the feeding process was smooth in 3 recipients. Conclusion If there is chronic intrauterine twin-twin transfusion in the monochorionic twins, postpartum neonatal feeding intolerance should be closely watched, especially in the donor twins.
Keywords:twin anemia-polycythemia sequence   twin-twin transfusion   feeding intolerance   neonate,
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