电邮这篇文章 羊水破裂的极早期早产风险孕妇的传入疗法。两个临床观察
- 作者: Vetrov V.V.1, Ivanov D.O.1, Reznik V.A.1, Romanova L.A.1, Melashenko T.V.1, Kurdynko L.V.1, Vyugov M.A.2
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隶属关系:
- Saint Petersburg State Pediatric Medical University, Perinatal Сenter
- Maternity Hospital
- 期: 卷 13, 编号 4 (2022)
- 页面: 93-100
- 栏目: Clinical observation
- URL: https://journals.eco-vector.com/pediatr/article/view/114939
- DOI: https://doi.org/10.17816/PED13493-100
- ID: 114939
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详细
妊娠期22周至27周6天期间羊水早破(PIOV)非常危险，因为它伴随着新生儿的高发病率和死亡率。
本文介绍了两名分别在妊娠22周和24周时患有早产羊水的妇女的结果。第一个案例中，该妇女被立即送入围产中心；在第二个案例中，在另一个机构治疗了3.5周之后。在这两种情况下，孕妇都表现出少许和内毒素血症的迹象，这是一种在泌尿生殖器感染背景下的母体-胎盘-胎儿系统的保护性炎症反应（第二名妇女更为严重）。在复杂的治疗过程中，患者进行了解毒，以反复连续进行血浆置换、血液吸收（各一次手术）、用紫外线对血液进行外部光调节、激光束与延长妊娠10周和8周的形式进行流出治疗。这两个案例中的分娩都是通过手术完成的，活产重量分别为1,600和1,840克。在第一个案例中，婴儿不需要重症监护，并得到了母乳喂养；在第二个案例中，新生儿接受了9天的主动呼吸支持，随着时间的推移，他的病情逐渐正常。没有关于母亲或胎儿出现败血症并发症的报道。
在对病人的治疗中纳入传出疗法的方法，使得最大限度地延长怀孕时间，对母亲和胎儿都有有利的结果。
全文:
作者简介
Vladimir V. Vetrov
Saint Petersburg State Pediatric Medical University, Perinatal Сenter
编辑信件的主要联系方式.
Email: vetrovplasma@mail.ru
Dr. Sci. (Med.), Associate Professor, Department of Neonatology with courses of Neurology and Obstetrics and Gynecology
俄罗斯联邦, Saint PetersburgDmitry O. Ivanov
Saint Petersburg State Pediatric Medical University, Perinatal Сenter
Email: doivanov@yandex.ru
ORCID iD: 0000-0002-0060-4168
MD, PhD, Dr. Sci. (Med.), Professor, Rector
俄罗斯联邦, Saint PetersburgVitaly A. Reznik
Saint Petersburg State Pediatric Medical University, Perinatal Сenter
Email: klinika.spb@gmail.com
ORCID iD: 0000-0002-2776-6239
MD, PhD, Chief Physician of the Children's Clinical Hospital
俄罗斯联邦, Saint PetersburgLarisa A. Romanova
Saint Petersburg State Pediatric Medical University, Perinatal Сenter
Email: l_romanova2011@mail.ru
MD, PhD, Department of Obstetrics and Gynecology
俄罗斯联邦, Saint PetersburgTatiana V. Melashenko
Saint Petersburg State Pediatric Medical University, Perinatal Сenter
Email: melashenkotat@mail.ru
MD, PhD, Associate Professor of the Department of Neonatology with courses of Neurology and Obstetrics and Gynecology
俄罗斯联邦, Saint PetersburgLyudmila V. Kurdynko
Saint Petersburg State Pediatric Medical University, Perinatal Сenter
Email: l.kurdynko@yandex.ru
Head of the Obstetrical Physiology Department
俄罗斯联邦, Saint PetersburgMikhail A. Vyugov
Maternity Hospital
Email: mikhailvyugov@yandex.ru
MD, PhD, Anesthesiologist-Intensivist
俄罗斯联邦, Taganrog参考
- Vetrov VV, Ivanov DO, Sidorkevich SV, Voinov VA. Ehfferentnye i krovesberegayushchie tekhnologii v perinatologii. Rukovodstvo dlya vrachei. Saint Petersburg, 2014. 352 p. (In Russ.)
- Vetrov VV, Ivanov DO. Plod kak patsient transfuziologa. Saint Petersburg: Inform-Navigator, 2016. 112 p. (In Russ.)
- Vetrov VV, Ivanov DO, Reznik VA, et al. Methods of efferent therapy in prolongation of pregnancy in the isthmic-cervical insufficiency (two clinical observations). Pediatrician (St. Petersburg). 2019;10(1): 101–106. (In Russ.) doi: 10.17816/PED101101-106
- Vetrov VV, Ivanov DO, Reznik VA, et al. Results of efferent therapy in monochorionic diamniotic twins with dissociation of fetal development (three clinical observations). Pediatrician (St. Petersburg). 2019;10(2): 111–120. (In Russ.) doi: 10.17816/PED102111-120
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