[摘要] 目的 探讨期待疗法处理妊娠晚期双胎之一胎死宫内 (single intrauterine fetal death， sIUFD)的妊娠结局和母儿预后。 方法 回顾性分析2013年1月～2014年12月于我院住院分娩的9例sIUFD患者经过期待治疗后的母婴病历资料，并对其进行随访。 结果 9例sIUFD患者均接受期待治疗，其中单绒毛膜双胎1例，双绒毛膜双胎8例。期待治疗时间最长50 d，最短16 d，平均保胎时间28 d，分娩平均孕周(36.0±1.2)周。无一例发生凝血功能障碍，终止妊娠方式均采取剖宫产术。 结论 妊娠晚期双胎之一胎死宫内可采取期待治疗，在密切监测下可延长分娩时间直至足月或接近足月，提高存活胎儿的生存质量。

    [关键词] 双胎妊娠；胎死宫内；期待疗法；妊娠结局

    [中图分类号] R714.43 [文献标识码] B [文章编号] 1673-9701(2015)32-0045-03

    [Abstract] Objectives To explore the pregnancy outcome and maternal and fetal prognosis of expectant management on single intrauterine fetal death(sIUFD)in gemellary pregnancy. Methods Nine cases of sIUFD hospitalized in our hospital from January 2013 to December 2014 and treated by expectant management were reviewed and followed up. Results The 9 cases of sIUFD were all treated by expectant management ......