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患者,24岁,妊娠9~+月,发现双胎1月于1989年12月22日入院。孕期无特殊,孕8月在外院B超检查为双胎。入院体查腹部比足月妊娠稍大,宫高40cm×98cm,胎位RSA/LSA,胎心为150次~×0~×140次,B超示胎位为RSA/RSCA、BPD93/89mm,AF50mm,HR140.8/140.8次,FL67/63mm,前壁胎盘,胎盘Ⅱ级。12月24日胎膜早破,行下段剖宫产。术中证实为双胎,胎位为RSA/RSCA,大毛2550g,Apgar评分1-7＇,5-9＇,脸色紫红,脉搏140次,呼吸20次,双肺少许细湿罗音,血红蛋白200g/L,血小板30×10~9/L,PCV0.70,CO_2CP12.99mmol/L,诊断双胎输血综合征(受血儿),呼吸衰竭,吸入性肺炎,酸中毒。给予抗炎、
Patients, 24 years old, 9 to 9 months of gestation, were found to have twin pregnancies admitted to hospital on December 22, 1989. No special pregnancy, pregnancy in August in the B-ultrasound outside the hospital twin. Admission abdominal examination than the full-term pregnancy slightly larger, 40cm × 98cm high palace, fetal position RSA / LSA, fetal heart rate 150 times to × 0 to × 140 times, B ultrasound showed fetal position RSA / RSCA, BPD93 / 89mm, AF50mm, HR140.8 / 140.8 times, FL67 / 63mm, anterior placenta, placenta Ⅱ level. December 24 premature rupture of membranes, the next line of cesarean section. Intraoperative confirmed twins, fetal position RSA / RSCA, hair 2550g, Apgar score 1-7 ’, 5-9’, face purple, pulse 140 times, breathing 20 times, a little lung wet rales, hemoglobin 200g / L, platelets 30 × 10 ~ 9 / L, PCV0.70, CO_2CP12.99mmol / L, the diagnosis of twin transfusion syndrome (by the blood), respiratory failure, aspiration pneumonia, acidosis. Given anti-inflammatory,