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遗传性抗凝血酶缺乏导致严重的新生儿血栓形成

[Hereditary antithrombin deficiency resulting in severe neonatal thrombosis].

作者信息

Niklassen U S, Ingerslev J, Birkebaek N H

机构信息

Paediatrisk afdeling A, Arhus Universitetshospital, Skejby Sygehus.

出版信息

Ugeskr Laeger. 2000 Nov 6;162(45):6081-2.

Abstract

We report a severe vena cava inferior thrombosis in a mature two day-old boy. Pregnancy and birth were event free. The mother had antithrombin deficiency. During pregnancy she was treated with enoxaparin and just before delivery with 2000 IE antithrombin concentrate. At admission the child had unmeasurable antithrombin and low protein C concentrations. He was treated with antithrombin concentrate and heparin. The thrombus disappeared, and now he is on maintenance treatment with warfarin. Risk factors and treatment of inherited antithrombin deficiency are discussed.

摘要

我们报告了一名两天大的成熟男婴发生严重的下腔静脉血栓形成。妊娠和分娩过程均无异常。母亲患有抗凝血酶缺乏症。孕期她接受了依诺肝素治疗,临产前接受了2000国际单位的抗凝血酶浓缩剂治疗。入院时,患儿的抗凝血酶水平无法测量,蛋白C浓度较低。他接受了抗凝血酶浓缩剂和肝素治疗。血栓消失了,现在他正在接受华法林维持治疗。本文讨论了遗传性抗凝血酶缺乏症的危险因素及治疗方法。

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