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王××,住院号81-2159。第一胎,36.5孕周,双胎,因妊娠高血压综合征,胎儿窘迫行产钳助产。大子娩出时肤色苍白,Apgar评分1分。经气管插管,加压用氧,10分钟后评6分。肤色仍苍白,体重2,470g。15分钟后小于娩出,Apgar评分6分,清除呼吸道粘液,5分钟后评8分。体重2,530g。入婴儿室后,大子哭声轻,呼吸浅促,四肢肌张力低,虽予吸氧,肤色仍苍白,Hb 3.3g％,RBC 126万。小子肤色紫红,Hb 24g％,RBC764万。两者Hb相差20g,RBC相差540万,血型均为“O”型。胎膜检查系单卵双胎,即诊断为双胎输血综合征。以后检查及治疗情况见附表。
Wang × ×, hospital number 81-2159. The first child, 36.5 gestational weeks, twins, due to pregnancy-induced hypertension syndrome, fetal distress line forceps midwifery. Big child when delivered pale, Apgar score 1 point. Tracheal intubation, pressure with oxygen, 6 minutes after 10 minutes. Skin is still pale, weight 2,470g. Less than 15 minutes after delivery, Apgar score 6 points, clear the respiratory mucus, 5 minutes after the assessment of 8 points. Weight 2,530g. Into the baby room, the child crying light, shallow breathing, limb muscle tension is low, although for oxygen, the skin is still pale, Hb 3.3g%, RBC 1260000. Kid color purple, Hb 24g%, RBC 7.64 million. Hb difference between the two 20g, RBC difference of 5.4 million, blood type are “O” type. Membrane examination of monozygotic twins, that is diagnosed as twin transfusion syndrome. After checking and treatment see Schedule.