双胎输血综合征29对临床分析

A Clinical Analysis of 29 Pair of Fetofetal Transfusion Symdrome

目的：探讨新生儿双胎输血综合征的临床表现及其合并症等问题。方法：对过去10年间收治的29对双胎输血综合征患儿资料进行回顾性分析。结果：双胎输血综合征患儿有一般双胎儿的临床共性，且双胎输血综合征患儿中受血儿出现病理临床表现及合并症较供血儿多且严重。结论：双胎输血综合征对受血儿危害更大，故临床上一旦确诊为双胎输血综合征，应对受血儿进行严密监护，若出现临床表现，并发生红细胞增多症，应积极采取治疗措施，以减少严重并发症及后遗症的发生。

Objective:To investigate the clinical manifestations and complocations of fetofetal transfusion symdrome in newborn. Methods:To study 29 pair of fetofetal transfusion symdrome cases of our hospital in past ten years. Results:Twins fetofetal transfusion symdrome cases have the common characters with the ordinary twins, but, in the fetofetal transfusion symdrome patient, the Patho - clinical manifestations and complocations in the recipients were common and severe than that of the donors. Conclusions: It was indicated that twins transfusion symdrome has severe damags to the reciepients. Therefore, if the twins transfusion symdrome was diagnosed clinically, close surveillances should be taken to the recipients. If clinical manifestations and erythrocytosis appeared should take active treatment proedures to reduce the severe complications and sequelaes.