双胎妊娠中1胎儿死亡是双胎妊娠中的一个特殊现象。可能发生于妊娠早、中、或晚期,不同时期发生原因不同,临床处理也不同。其中早期、晚期发生对另1胎及母体的影响较小。中期发生可对母儿产生较大影响,临床处理也相对复杂,目前以保守治疗为主,尽量延长孕周,同时提倡个体化治疗。 Twin pregnancies One fetal death is a special phenomenon in twin pregnancies. May occur in early, middle, or late pregnancy, different causes at different times, clinical treatment is also different. Among them, the early and late stage had little effect on the other 1 fetus and maternal. Mid-term may have a greater impact on the mother and child, the clinical treatment is relatively complex, the current conservative treatment-based, as far as possible to extend gestational age, while promoting individualized treatment.