Mirror综合征还是子(癎)前期?

目的　研究水肿胎与Mirror综合征及子(癎)前期(preeclampsia,PE)之间的关系. 方法　分析13例水肿胎(均为妊娠28周后)的临床资料及相关文献. 结果 13例水肿胎中有8例诊断为PE,5例为Mirror综合征.水肿胎无论是并发Mirror综合征还是PE均发生严重的母体并发症. 结论 胎儿、胎盘水肿与母体临床症状之间存在着紧密联系,临床医生必须认识到水肿胎与Mirror综合征及PE之间的关系,及时发现Mirror综合征,防止病情发展为PE.Mirror综合征的病理机制目前还不清楚.关注水肿胎的同时要重视监护母体情况.

Mirror syndrome or preeclampsia?

Objective To study the relationship among hydrops fetalis(over 28 gestational weeks),Mirror syndrome and preeclampsia(PE). Methods Clinical data of 13 cases of hydrops fetalis were analyzed and relative publications were reviewed. Results Eight out of the 13 cases were diagnosed as PE,and 5 were Mirror syndrome.Serious maternal complications occurred in all cases with either Mirror syndrome or PE. Conclusions Fetaland placental hydrops was closely related with maternal symptoms.Clinicians should be aware of this condition and detect Mirror syndrome in time so as to prevent its progress to PE.However,the pathogenic mechanism remains to be fully elucidated.More attention should be paid to both mothers and the hydrops fetalis.