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单绒毛膜双胎存活胎儿脑损伤的发生率增加,潜在有效治疗的窗口期很窄。严密监测双胎宫内生长发育情况,强调脐动脉多普勒血流监测评估的重要性,适时终止妊娠,血管闭塞法选择性减胎和胎儿镜下吻合血管激光消融等方法,是防止存活胎儿低血压性脑损伤的有效措施。一胎儿死亡后3~4周存活胎儿颅部超声和磁共振检查有助于脑损伤的诊断。
Single chorionic twins surviving fetal brain injury increased incidence of potentially effective treatment of the window is very narrow. Tight monitoring of intrauterine growth and development, emphasizing the importance of Umbilical artery Doppler blood flow monitoring and evaluation, timely termination of pregnancy, selective ablation of vascular occlusion and fetal microscopic anastomosis vascular laser ablation and other methods to prevent the survival of fetus Hypotensive brain injury effective measures. Survival of 3 to 4 weeks after death of a fetus Fetal cranial ultrasound and magnetic resonance imaging are helpful in the diagnosis of brain injury.