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53.美莉產檢時超音波發現,此雙胞胎有兩個羊膜腔,但共用一個胎盤,會有發生雙胞胎間輸血 症候群(twin-to-twin transfusion syndrome)的風險,關於雙胞胎間輸血症候群(TTTS), 下列敘述何者錯誤?
(A)TTTS發生原因目前認為和共用胎盤,且兩個胎兒間的血管相通(vascular anastomosis) 造成血流不平衡有關
(B)recipient的血液容積增加,會造成羊水過多,嚴重時會有心臟衰竭的現象
(C)donor的血液供給recipient,造成donor的血液容積下降,胎兒腎臟灌流(renal perfusion)下降,所以尿量變少,會使羊水過少(oligohydramnios),嚴重時超音波下 donor膀胱會看不到,且常被推擠至一角落(stuck twin)
(D)美莉的兩個雙胞胎間如果體重差異超過30%,就可診斷為TTTS


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最佳解!
宏爺 國一上 (2018/03/27)
●Twin-twin transfusi☆☆ ...


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一個人 高二上 (2018/12/07)

 It is the combination of oligohydramnios and polyhydramnios in a MC twin pair seen by ultrasound that indicates the diagnosis of TTTS.

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WIKI 

Quintero Stages

A staging system is commonly used to classify the severity of TTTS.[3]

Stage I: A small amount of amniotic fluid (oligohydramnios) is found around the donor twin and a large amount of amniotic fluid (polyhydramnios) is found around the recipient twin.

Stage II: In addition to the description above, the ultrasound is not able to identify the bladder in the donor twin.

Stage ...


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53.美莉產檢時超音波發現,此雙胞胎有兩個羊膜腔,但共用一個胎盤,會有發生雙胞胎..-阿摩線上測驗