- 期刊
非免疫性胎兒水腫合併羊水過多－病例報告
Nonimmune Hydrops Fetalis Combined with Hydramnios - Case Report
摘要
胎兒水腫 (hydrops fetalis) 是指過多的水份積於胎兒的皮下組織及體腔，造成腹腔、胸腔及心包腔積水。其形成的原因可分為免疫性兩大類，由於醫學進步，許多非免疫胎兒水腫都可以找到真正的原因。但是非免疫胎兒水腫的預後很差，其週產其死亡率約75%至90%〔1〕。羊水過多〔hydramnios〕是指羊水量超過2千西西，或以超因波檢查羊水深度大於8公分來診斷〔2〕。胎兒水腫不一定併發羊水過多。本文報告依例不明原因的胎兒水腫合併有羊水過多，生產後母女均安的少見病例。
關鍵字
非免疫性胎兒水腫、羊水過多並列摘要
Hydrops fetalis implies excessive fluid accimulation the extravascular spasce and the body cavities of the fetus, leading to subcutaneous edema, ascites and pleural and pericardial effusion. Hydrops fetalis is divided into isoimmune and nonimmune hydrops. The formation of nonimmune hydrops bave been attributed to many causes, but now, the incidence of idiopathic hydeops is decrtased. The prognosis of nonimmune hydrops is poor, and the perinatal mortality rate is about 75 to 90 percent. Hydramnios is defined as the amount of amniotic fluid more than 2,000 ml, or the depth of amniotic flyid larger than 8 cm by sonographic examination. Hydrops fetalis may be not comtined with hydramnios. We present a case of idiopathic hydrops fatalis com-bined with hydramnios, and the conditions of the mother and the baby are well delivery.