文章基本信息

标题：NON-IMMUNE HYDROPS FETALIS: CASE STUDY
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作者：Izabela Lewandowska-Andruszuk ; Olga Adamczyk- Gruszka ; Grażyna Czerwiak 等
期刊名称：Journal of Education, Health and Sport
电子版ISSN：2391-8306
出版年度：2017
卷号：7
期号：10
页码：108-115
DOI：10.5281/zenodo.1000961
语种：English
出版社：Kazimierz Wielki University
摘要：Introduction: Non-immune hydrops fetalis (NIHF) occurs with an average frequency of 1/3,000 cases diagnosed pre- and postnatally. Edema of the fetus is associated with accumulation of fluids in several fetal compartments and soft tissues. NIHF may result from diseases of the heart, blood vessels, kidneys and urinary tract, lungs, gastrointestinal problems, blood disorders, disordered metabolism, chromosomal disorders, and infections. Diagnosis is based on ultrasonography. The aim of the study was to present NIHF case, diagnostic and therapeutic difficulties and indications for premature termination of pregnancy by caesarean section. Case study. A 40-year-old pregnant woman, fourth pregnancy, was diagnosed with NIHF in 29 hbd. Despite a number of diagnostic tests for infections and congenital abnormalities, chromosomal disorders, etc., the cause of fetal edema was not established. Because of pelvic presentation of the fetus threatening severe asphyxia, emergency termination of the pregnancy by cesarean section was performed in 29 hbd. The baby did not survive. Unfortunately, the cause of NIHF was not established postnatally. The baby did not survive. Conclusions. Pregnant women are required to fully diagnose the causes of NIHF to promptly implement causative treatment. In the case of idiopathic NIHF, symptomatic treatment and earlier termination of pregnancy by cesarean section are recommended.
关键词：Introduction: Non-immune hydrops fetalis (NIHF) occurs with an average frequency of 1/3,000 cases diagnosed pre- and postnatally. Edema of the fetus is associated with accumulation of fluids in several fetal compartments and soft tissues. NIHF may result from diseases of the heart, blood vessels, kidneys and urinary tract, lungs, gastrointestinal problems, blood disorders, disordered metabolism, chromosomal disorders, and infections. Diagnosis is based on ultrasonography. The aim of the study was to present NIHF case, diagnostic and therapeutic difficulties and indications for premature termination of pregnancy by caesarean section. Case study. A 40-year-old pregnant woman, fourth pregnancy, was diagnosed with NIHF in 29 hbd. Despite a number of diagnostic tests for infections and congenital abnormalities, chromosomal disorders, etc., the cause of fetal edema was not established. Because of pelvic presentation of the fetus threatening severe asphyxia, emergency termination of the pregnancy by cesarean section was performed in 29 hbd. The baby did not survive. Unfortunately, the cause of NIHF was not established postnatally. The baby did not survive. Conclusions. Pregnant women are required to fully diagnose the causes of NIHF to promptly implement causative treatment. In the case of idiopathic NIHF, symptomatic treatment and earlier termination of pregnancy by cesarean section are recommended.