Nonimmunologic Fetal Ascites

非免疫性胎兒腹水

鄭輔民(Fu-Min Cheng) ； 余慕賢(Mu-Hsien Yu) ； 孫大威(Dasid Sun) ； 羅家森(Jia-Sen Luo) ； 尹長生(Chang-Shang Yinn) ； 師明哲(Min-Tsir Shih)

《Journal of Medical Sciences》 8卷2期 (1987/09) Pp. 113-119

摘要

非免疫性胎兒腹水，是一種沿於多種病因的少見徵狀，自民國七十三年元月至今，三軍總醫院具完全記載的有十個病例，本文即對此十病例詳加分析整理。十病例中，母親妊娠的合併症，包括羊水過多（40%），早產（30%），和高血壓（20%），雖然這些症狀，可以提示我們早期發現胎兒腹水，但胎兒腹水之診斷多半靠產前超音波檢查，另外輔以心律監視，血色素電泳法，糖耐受試驗，和血清檢查，即使如此，有相當多之胎兒腹水，仍無法確知其發生之原因，治療上依胎兒畸形的程度，及早產之影響，決定其治療方式，預後一般不佳，十病例中僅五例存活，但有四例於出生時已無腹水現象。

關鍵字

先天異常 ； 胎兒腹水

並列摘要

Nonimmunologic fetal ascites is an uncommon problem that occurs for many reasons. Ten cases of nonimunologic fetal ascites occurring during a 3-year period were reviewed. The pregnancies were complicated by hydramnios (40%); premature delivery (30%) and hypertension (20%). Fetal ascites has been diagnosed more frequently following the introduction of routine ultrasound scanning during pregnancy. Modalities available for antenatal diagnosis of underlying fetal abnormalities include fetal cardiac monitoring, hemoglobin electrophoresis, glucose tolerance testing and serologic tests. No specific cause of the fetal ascites was detectable in 40% of our cases. Management of affected pregnancies was influenced by the high incidence of congenital anomalies and premature delivery. Outcome was poor, only 50% of the babies survived beyond the neonatal period; 40% cases had spontaneously relived from ascities at birth.

並列關鍵字

Congenital anomaly ； Fetal ascites