Clinical analysis of 8 cases with mirror syndrome
WANG Ma-lie,LIANG Run-cai.
Chinese Journal of Practical Gynecology and Obstetrics ›› 2014, Vol. 30 ›› Issue (5) : 369-373.
Clinical analysis of 8 cases with mirror syndrome
Abstract:Objective To approach the clinical features and treatment of mirror syndrome. Methods The clinical data including general state of mother nuclide,laboratory and ultrasound examination,gross and microscopic placental examination and outcomes of both mother and fetus in 8 cases with mirror syndrome at our hospital from August 2007 to May 2012 were analyzed retrospective. Results The clinical features of mirror syndrome include maternal edema,hypertension,proteinuria,dilution anemia,hypoproteinemia,hydrops fetalis and hydropic placenta. The severe patient would appear pleural fluid,ascites,pulmonary edema and congestive heart failure. The patient have a large proportion of postpartum hemorrhage,transfusion and being treated in the intensive care unit.Eight cases have several characteristics such as anemia and hemodilution[HB(77.3±9.10)g/L and HCT 0.246±0.029],hypopoteinemia [ALB(24.86 ± 3.10)g/L],and the hemoglobin,hamat and albumin were elevated significantly [HB(99.27±15.27) g/L,HCT 0.308±0.046,ALB(29.59 ± 3.13)g/L］after termination of pregnancy.Eight cases recovered increasingly after termination of pregnancy. Conclusion It's easy to confuse the diagnose between mirror syndrome and preeclampsia. Maternal dilution anemia is an important characteristic. Once mirror syndrome is diagnosed,the treatment should be considered including to correct hypopoteinemia,use diuretic agent,control the imput fluid and prevent postpartum hemorrhage. Termination of pregnancy is the basic treatment of mirror syndrome.
maternal edema / hydrops fetalis / placental edema / mirror syndrome
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