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DOI: 10.1055/s-0031-1280451
© Georg Thieme Verlag KG Stuttgart · New York
Fetale Anämie – Diagnostik, Therapie und Management
Publikationsverlauf
Publikationsdatum:
07. Februar 2012 (online)
![](https://www.thieme-connect.de/media/gebfra/201201/lookinside/thumbnails/10.1055-s-0031-1280451-1.jpg)
Zusammenfassung
Das perinatale Outcome von anämischen Feten hat sich in den letzten Jahren erheblich verbessert. Mittels Titerkontrollen, Abschätzen des fetalen Anämiegrads durch Doppler-Sonografie und Messung der Spitzenflussgeschwindigkeit der A. cerebri media als nicht invasivem und damit risikolosem Verfahren, sowie der Möglichkeit der intrauterinen Behandlung durch Nabelschnurbluttransfusion können letale Verläufe heute in den meisten Fällen vermieden werden. Anämische Feten können so noch vor dem Auftreten eines Hydrops, was mit einer signifikant schlechteren Prognose vergesellschaftet ist, rechtzeitig erkannt und im weiteren Schwangerschaftsverlauf engmaschig überwacht und gegebenenfalls therapiert werden. In dieser Arbeit wird ein Überblick über die Ursachen der fetalen Anämie, die Diagnostik und Überwachung dieser Risikoschwangerschaft sowie über die therapeutischen Möglichkeiten und das fetale Outcome gegeben.
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Dr. Norbert Wagner
Universitätsfrauenklinik Essen
Hufelandstr. 55
45147 Essen
eMail: norbert.wagner@uk-essen.de