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Síndrome de transfusión gemelo a gemelo - Symptom

Nombres alternativos

Síndrome de transfusión fetal; Síndrome de transfusión entre gemelos

Síntomas:

El gemelo donante nace usualmente más pequeño que el otro gemelo, por lo general con palidez, anemia y deshidratación.

El gemelo receptor nace más grande, con enrojecimiento, demasiada sangre y aumento de la presión arterial. Debido al incremento del volumen sanguíneo, el gemelo receptor puede desarrollar insuficiencia cardíaca y también requiere medicamentos para fortalecer la función cardíaca.

El tamaño desigual de los gemelos idénticos se denomina gemelos discordantes.

Pruebas y exámenes:

Esta afección generalmente se diagnostica por medio de una ecografía durante el embarazo.

Después de nacer, a los bebés se les harán los siguientes exámenes:

Estudios de coagulación sanguínea, como tiempo de protrombina (TP) y tiempo parcial de tromboplastina (TPT)
Grupo de pruebas metabólicas completas para determinar el equilibrio de electrolitos
Conteo sanguíneo completo
Radiografía de tórax

Reviewed last on: 9/12/2011
Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; Susan Storck, MD, FACOG, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Bellevue, Washington; Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Habli M, Lim FY, Crombleholme T. Twin-to-twin transfusion syndrome: a comprehensive update. Clin Perinatol. 2009 Jun;36(2):391-416, x.

Cunningham FG, Leveno KJ, Bloom SL, et al. Multifetal gestation. In: Cunnigham FG, Leveno KL, Bloom SL, et al, eds. Williams Obstetrics. 23rd ed. New York, NY: McGraw-Hill; 2010:chap 39.

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