17例双胎之一宫内死亡的母儿监测及护理分析

目的 探讨双胎妊娠孕早、中期1胎死亡后期待治疗过程中的母儿监测及护理方法 .方法 回顾性分析2003年7月至2008年7月,本院收治的17例孕早、中期经B超确诊双胎妊娠1胎宫内死亡病例的期待治疗结果 及新生儿的转归.结果 期待治疗时间为3～147天,平均80天,平均分娩孕周为35周,无一例出现明显凝血功能障碍.羊水过少和胎膜早破是常见并发症,胎盘因素是胎死宫内的重要原因.结论 孕早、中期双胎之一胎死宫内后采取期待疗法,严密监测母儿的各项相关指标和并发症的条件下,配合积极的护理措施,可以尽可能延长存活胎儿在宫内生长的时间,提高存活胎儿的生存质量.

Analysis on monitoring and nursing for twin pregnancy with intrauterine single fetal death

Objective To investigate the monitoring and nursing for twin pregnancy with intrauterine single fetal death. Methods The expectant management and neonatal outcome of 17 cases of intrauterine death of twin which were diagnosed by ultrasonography from July 2003 to July 2008 were analyzed retrospectively. Results The period of expectant management was 3-147days. The average period was 80 days. The average delivery pregnancy week was 35 weeks. No one case developed blood coagulation dysfunction. The common complications were oligohydramnios and premature ruptures of membrane, the important reasons of intrauterine death was placental factor Conclusions Taking expectant management, comprehensive monitoring the related indexes and complication of pregnant and fetal of intrauterine death of twin and nursing measures can prolong the time of intrauterine growth of survival fetal and improve the quality of life of neonatal.