孕晚期胎儿水肿宫内干预及预后

Intrauterine intervention and prognosis of fetal edema in late pregnancy

目的:探讨孕晚期胎儿水肿的病因、临床进展、治疗及预后,以提高临床医生对该病的认识.方法:收集我院收治的3例胎儿水肿病例资料,分析进行宫内干预后的临床转归情况.结果:3例胎儿水肿病例,1例为乳糜胸并乳糜腹治疗后好转出院,2例为高度疑似乳糜胸;其中1例放弃治疗后新生儿死亡,1例治疗后效果欠佳放弃后新生儿死亡.结论:宫内干预可改善部分胎儿水肿的预后,应与孕妇家属充分沟通,权衡宫内干预给孕妇和胎儿可能带来的益处和风险.

Objective:To explore the etiology,clinical progress,treatment and prognosis of fetal edema in late pregnancy,so as to improve clinicians,understanding of this disease.Methods:3 cases of fetal edema in our hospital were collected,and the clinical outcome after intrauterine intervention was analyzed.Results:In 3 cases of fetal edema,1 case of chylothorax and chylous ascites improved after treatment,2 cases were highly suspected as chylothorax.One neonate died after giving up treatment,and one neonate died after giving up treatment due to poor therapeutic effect.Conclusion:Intrauterine intervention can improve the prognosis of some fetal edema.Clinicians should fully communicate with the family members of pregnant women and weigh the benefits and risks that intrauterine intervention may bring to pregnant women and fetuses.