婦女疾病
即時提問 ?[ 會員#13665 ] jiemaogq
胎兒水腫
您好：
本人於2010年和2011年分別出現2個胎兒全身皮膚水腫，胸腔積液，肝臟增大，發現時就是死胎了，由於當地條件有限胎兒並沒有做什麼檢查。 事後，夫妻雙方查了地貧基因，染色體均無異常，我還查了Torch，B19病毒，也都正常。夫妻雙方都是o型，RH陽性。
到目前為止，我們已經不知道還有什麼可以去做的了，偶然發現這個網站，希望香港的相關醫生有瞭解的能給予我們一點幫助，我現在年紀也大了，實在耗不起，非常著急。
期待有醫生給我一點訊息，非常感謝。
本人於2010年和2011年分別出現2個胎兒全身皮膚水腫，胸腔積液，肝臟增大，發現時就是死胎了，由於當地條件有限胎兒並沒有做什麼檢查。 事後，夫妻雙方查了地貧基因，染色體均無異常，我還查了Torch，B19病毒，也都正常。夫妻雙方都是o型，RH陽性。
到目前為止，我們已經不知道還有什麼可以去做的了，偶然發現這個網站，希望香港的相關醫生有瞭解的能給予我們一點幫助，我現在年紀也大了，實在耗不起，非常著急。
期待有醫生給我一點訊息，非常感謝。
Hello,
These are cases likely of hydrops fetalis. Hydrops fetalis usually results from fetal anemia, when the heart needs to pump a much greater volume of blood to deliver the same amount of oxygen. This anemia can have either an immune or non-immune cause. The index cases described are likely due to non-immune hydrops, which can also be unrelated to anemia, for example if a fetal tumor or congenital cystic adenomatoid malformation increases the demand for blood flow. The increased demand for cardiac output leads to heart failure, and corresponding edema. Diagnosis and monitoring can be done by ultrasound scan examination. Fetal therapy may be needed for specific underlying cause. Prenatal diagnosis and counseling should be done. Postmortem examination and investigations should have been performed to aid in further counseling.
Hope this helps.
Dr CYT Ong
These are cases likely of hydrops fetalis. Hydrops fetalis usually results from fetal anemia, when the heart needs to pump a much greater volume of blood to deliver the same amount of oxygen. This anemia can have either an immune or non-immune cause. The index cases described are likely due to non-immune hydrops, which can also be unrelated to anemia, for example if a fetal tumor or congenital cystic adenomatoid malformation increases the demand for blood flow. The increased demand for cardiac output leads to heart failure, and corresponding edema. Diagnosis and monitoring can be done by ultrasound scan examination. Fetal therapy may be needed for specific underlying cause. Prenatal diagnosis and counseling should be done. Postmortem examination and investigations should have been performed to aid in further counseling.
Hope this helps.
Dr CYT Ong
以上資料只供參考，不能作診症用途，
請與家庭醫生查詢並作出適合治療。
如有身體不適請即求診，切勿延誤治療。
若資料有所漏誤，本網及相關資料提供者恕不負責。
請與家庭醫生查詢並作出適合治療。
如有身體不適請即求診，切勿延誤治療。
若資料有所漏誤，本網及相關資料提供者恕不負責。
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