双胎妊娠合并脱髓鞘性视神经炎并发早产1例

A case of premature birth in twin pregnancy complicated with demyelinating optic neuritis

目前国内外妊娠合并脱髓鞘疾病致视神经炎病例极为少见,如何在对母体进行治疗的同时降低对胎儿的影响,成为孕期管理的关键。本文介绍1例双胎妊娠合并脱髓鞘性视神经炎病例,在该病例中成功抢救了超低出生体质量儿,并通过治疗缓解了产妇视神经损伤。通过该病例的介绍,为围生医学工作者如何做好孕前咨询、围生期管理、产后康复治疗及提高新生儿存活率提供借鉴。

At present,the cases of optic neuritis caused by demyelinating diseases in pregnancy are very rare at home and abroad.How to reduce the influence on the fetus while treating the mother has become the key of pregnancy management.This article describes a case of optic neuritis caused by demyelinating disease in twin pregnancy.In this case,the ultra-low birth weight infant was successfully saved and the optic nerve injury was relieved by treatment.Through the introduction of this case,it can provide reference for perinatal medical workers how to do pre-pregnancy consultation,perinatal management,postpartum rehabilitation treatment and improve newborn survival rate.