双胎贫血-红细胞增多序列征新生儿喂养不耐受3例总结

Feeding intolerance in twin anemia-polycythemia sequence in 3 newborns

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。

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.