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[特发性血小板减少性紫癜与妊娠]

[Idiopathic thrombopenic purpura and pregnancy].

作者信息

el Hajoui Samira, Nabil Samira, Khachani Mouna, Kaddioui Sahar, Alami Mohamed Hassan, Bezad Rachid, Alaoui Mohamed Tahar

机构信息

Maternité Universitaire des Orangers-Rabat, Maroc.

出版信息

Tunis Med. 2003 Mar;81(3):213-6.

Abstract

The idiopathic thrombocytopenic purpura (ITP) associated to a pregnancy is a frequent eventuality, and this association have a high risk. The mother platelet numeration cannot predict the fetal affection, only the mother antiplatelet antibodies rate have a predictive value. The obstetrical attitude is highly discussed and is conditioned by the fetus platelet rate. If the corticotherapy brings an improvement of the maternal and fetal platelet rate, the gammaglobulin therapeutic interest will be confirmed. Thanks to a ITP case associated to pregnancy and a literature review, we will try to appreciate this disease for a pregnant woman, evaluate its consequences on the pregnancy and approach the different steps of the taking care actions.

摘要

与妊娠相关的特发性血小板减少性紫癜(ITP)是一种常见情况,且这种关联存在高风险。母亲的血小板计数无法预测胎儿是否受影响,只有母亲的抗血小板抗体率具有预测价值。产科处理方式备受讨论,且取决于胎儿的血小板率。如果皮质类固醇疗法能使母体和胎儿的血小板率有所改善,丙种球蛋白的治疗作用将得到证实。通过一个与妊娠相关的ITP病例及文献综述,我们将尝试评估这种疾病对孕妇的影响,评估其对妊娠的后果,并探讨护理措施的不同步骤。

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Medical treatments for idiopathic thrombocytopenic purpura during pregnancy.
Cochrane Database Syst Rev. 2009 Oct 7;2009(4):CD007722. doi: 10.1002/14651858.CD007722.pub2.

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