| 摘要: |
| ［摘要］ 胎母输血（fetomaternal hemorrhage,FMH）是一定量胎儿血液（通常≥30 ml）在产前或产时通过胎盘屏障进入母体血循环。当FMH>150 ml，围产期发病率增加，>250 ml时，胎儿死亡或严重损伤的风险非常高。该病起病隐匿，临床诊断及治疗较为困难。该文就其病因、诊断及处理的进展进行综述。 |
| 关键词: 胎母输血 胎儿血红蛋白 Kleihauer-Betke实验 流式细胞计数 大脑中动脉 宫内输血 |
| DOI：10.3969/j.issn.1674-3806.2013.07.38 |
| 分类号:R 714 |
| 基金项目: |
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| The diagnosis and management about fetomaternal hemorrhage |
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TIAN Mao, TAN Yi
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Department of Obstetrics,the People’s Hospital of Guangxi Zhuang Autonomous Region,Nanning 530021,China
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| Abstract: |
| ［Abstract］ Fetomaternal Hemorrhage (FMH) defines as the fetal blood（≥30 ml usually） across the placental barrier into the maternal circulation before or during delivery. With FMH>150 ml, perinatal morbidity increases, with FMH>250 ml, the risk of death or damage to the fetus is very high. FMH is rare, and difficult for diagnosis and treatment. In this review, the origin of the disease, the progress of its etioyogies,diagnosis and management have been summarized. |
| Key words: Fetomaternal hemorrhage(FMH) Fetal Hemoglobin（HbF） Kleihauer-Betke test Flow Cytometry Middle cerebral artery Intrauterine transfusion |
