Abstract：
:Twin-to-twin transfusion (TTT) is a complication of monochorionic twins that may result in high mortality and morbidity. To better understand pathophysiology in TTT and the consequences for affected fetuses and neonates, we describe the clinical features of 19 consecutive pregnancies complicated by TTT over 5 years. The diagnosis was made based on the findings of polyhydramnios-oligohydramnios sequence with weight discordance judged by obstetrical sonogram in monochorionic twins. Serial amnioreductions were performed as the sole modality of therapeutic intervention when indicated. The obstetrical diagnosis of TTT was first made at a median gestational age of 26 weeks (range 20-35 weeks). Median age of delivery was 30 weeks (range 26-36 weeks). Thirty-three babies of the 19 pairs of twins were born alive, but only 21 of them lived beyond 28 days of life. Fifteen pairs of twins with TTT had weight discordance greater than 20%, but only one pair showed initial hemoglobin difference greater than 5 g/dl. Newborn infants with TTT were at risk for development of renal insufficiency, periventricular leukomalacia, and necrotizing enterocolitis. Intrauterine fetal demise of one twin and severe anemia (hemoglobin <10 g/dl) at birth were poor prognostic factors. Recent advances in perinatal care improves pregnancy outcome of TTT; however, surviving neonates are still at risk for morbidities arising from hemodynamic aberrations.
journal_name
Eur J Pediatrjournal_title
European journal of pediatricsauthors
Chiang MC,Lien R,Chao AS,Chou YH,En Chen YJdoi
10.1007/s00431-002-1107-5keywords:
subject
Has Abstractpub_date
2003-02-01 00:00:00pages
68-71issue
2eissn
0340-6199issn
1432-1076journal_volume
162pub_type
杂志文章abstract：:The laryngo-tracheo-oesophageal cleft is marked by a missing anatomical separation of the oesophagus and the larynx. The cleft can be restricted to the dorsal part of the larynx (type I), extend to the upper area of the trachea (type II) or involve the whole of the trachea (type III). In reviewing our three cases and ...
journal_title：European journal of pediatrics
pub_type： 杂志文章
doi：10.1007/BF00661903
更新日期：1983-03-01 00:00:00
abstract：:A series of information processing tasks was administered to 22 PKU children aged 8.5 years who had been under dietary treatment since birth as well as to 20 controls of the same age. This contribution presents the results of two tasks from this series: a continuous performance task and a calculation task. The continu...
journal_title：European journal of pediatrics
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doi：10.1007/BF02126298
更新日期：1990-01-01 00:00:00
abstract：:Seven male Japanese children with chronic granulomatous disease were given sulfamethoxazole-trimethoprim (SMX-TMP) for recurrent pyogenic infections, most of which had proved difficult to control with other antibiotics. With continous treatment the children remained free of infections severe enough to necessitate hosp...
journal_title：European journal of pediatrics
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doi：10.1007/BF00493540
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abstract：:Regional variations in the human leucocyte antigen (HLA) distribution patterns of coeliac disease (CD) have been reported. This study focuses on phenotype frequencies of a cohort of Austrian paediatric CD patients in comparison with those recorded in the literature. HLA class I and II typing was performed in 136 CD pa...
journal_title：European journal of pediatrics
pub_type： 杂志文章
doi：10.1007/BF01958759
更新日期：1991-08-01 00:00:00
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journal_title：European journal of pediatrics
pub_type： 杂志文章
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更新日期：2018-07-01 00:00:00
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journal_title：European journal of pediatrics
pub_type： 杂志文章
doi：10.1007/s004310050618
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journal_title：European journal of pediatrics
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journal_title：European journal of pediatrics
pub_type： 杂志文章,评审
doi：10.1007/BF02179669
更新日期：1994-01-01 00:00:00
abstract：:A 10-year-old boy with chyluria due to a congenital fistulous communication between the lymphatic system and the bladder is described. Chyluria can be parasitic or non-parasitic. Many causes of non-parasitic chyluria have been reported. Lymphography is the preoperative imaging procedure of choice since it demonstrates...
journal_title：European journal of pediatrics
pub_type： 杂志文章
doi：10.1007/BF02073895
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journal_title：European journal of pediatrics
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更新日期：2014-05-01 00:00:00
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journal_title：European journal of pediatrics
pub_type： 杂志文章
doi：10.1007/s00431-018-3302-z
更新日期：2019-03-01 00:00:00
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journal_title：European journal of pediatrics
pub_type： 杂志文章
doi：10.1007/s00431-009-1007-z
更新日期：2010-02-01 00:00:00
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journal_title：European journal of pediatrics
pub_type： 杂志文章
doi：10.1007/BF01955902
更新日期：1993-05-01 00:00:00
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journal_title：European journal of pediatrics
pub_type： 杂志文章
doi：10.1007/BF02002905
更新日期：1996-09-01 00:00:00
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journal_title：European journal of pediatrics
pub_type： 杂志文章,评审
doi：10.1007/pl00008398
更新日期：2000-09-01 00:00:00
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journal_title：European journal of pediatrics
pub_type： 杂志文章
doi：10.1007/s00431-014-2315-5
更新日期：2014-10-01 00:00:00
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journal_title：European journal of pediatrics
pub_type： 杂志文章
doi：10.1007/s004310050700
更新日期：1997-09-01 00:00:00
abstract：UNLABELLED:Persistent müllerian duct syndrome is a relatively rare inherited defect of sexual differentiation characterised by failure of regression of the müllerian ducts in males. In affected individuals, uterus and tubes are present because of defects of synthesis or action of anti-müllerian hormone (AMH), normally ...
journal_title：European journal of pediatrics
pub_type： 杂志文章
doi：10.1007/s004310100840
更新日期：2001-11-01 00:00:00
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journal_title：European journal of pediatrics
pub_type： 杂志文章
doi：10.1007/s00431-010-1266-8
更新日期：2010-12-01 00:00:00
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journal_title：European journal of pediatrics
pub_type： 杂志文章
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更新日期：1997-08-01 00:00:00
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journal_title：European journal of pediatrics
pub_type： 杂志文章
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journal_title：European journal of pediatrics
pub_type： 杂志文章
doi：10.1007/BF00463741
更新日期：1976-06-08 00:00:00
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journal_title：European journal of pediatrics
pub_type： 杂志文章,随机对照试验
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更新日期：2012-06-01 00:00:00
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journal_title：European journal of pediatrics
pub_type： 杂志文章
doi：10.1007/BF01958979
更新日期：1994-03-01 00:00:00
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journal_title：European journal of pediatrics
pub_type： 杂志文章
doi：10.1007/BF00441480
更新日期：1980-09-01 00:00:00
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journal_title：European journal of pediatrics
pub_type： 杂志文章
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更新日期：2003-04-01 00:00:00
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journal_title：European journal of pediatrics
pub_type： 杂志文章
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journal_title：European journal of pediatrics
pub_type： 杂志文章
doi：10.1007/s004310050923
更新日期：1998-09-01 00:00:00
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journal_title：European journal of pediatrics
pub_type： 杂志文章
doi：10.1007/BF00572763
更新日期：1984-02-01 00:00:00
abstract：UNLABELLED:The 6-min walk test is a simple and accurate method to measure functional exercise capacity in children. We provide smooth reference curves for the modified 6-min walk test in 696 healthy children and adolescents aged 4-19 years, enabling calculation of sex-, age-, and height-specific Z-scores. CONCLUSION:T...
journal_title：European journal of pediatrics
pub_type： 杂志文章
doi：10.1007/s00431-014-2454-8
更新日期：2015-06-01 00:00:00
