双胎反向动脉灌注序列征4例临床分析 [中文引用][英文引用]

目的 探讨双胎反向动脉灌注序列征（twin reversed arterial perfusion sequence，TRAPS）的临床特点及临床处理方案。方法 回顾性分析我院2014～2018年间诊断的4例TRAPS，分析其孕期产检及住院分娩病例资料，随访孕期及产后情况，进行病例总结。 结果 ①4例TRAPS均通过超声诊断，超声仍是诊断TRAPS的首选方法；②妊娠结局：4例TRAPS中，2例剖宫产，1例自然分娩，1例放弃妊娠引产，获得活产泵血儿3例，3例受血儿为无头无心无四肢发育，1例受血儿无头无心无上肢发育。结论 诊断TRAPS首选方法是产前超声检查，早期诊断可提高泵血儿的生存率。

Objective To investigate the clinical characteristics and clinical treatment of twin reversed arterial perfusion sequence (TRAPS). Method A retrospective analysis of 4 cases of TRAPS in our hospital during the past 2014~2018 years was carried out to analyze the data of pregnancy and inpatient delivery, and follow up the pregnancy and postpartum cases, and summarize the cases. Results ①4 cases of TRAPS were diagnosed by ultrasound during pregnancy. Ultrasound is the first choice for diagnosing TRAPS; ②The outcome of pregnancy: Among the 4 cases of TRAPS, 2 cases were caesarean section, 1 case was spontaneous delivery, 1 case gave up induced labor, 3 cases received live birth pump blood, 3 cases were headless and heartless, and 1 case was headless and heartless without upper limb development. Conclusions Prenatal ultrasound is the first choice for the diagnosis of TRAPS. Early diagnosis can improve the survival rate of blood pump children.