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重度甲型血友病患者的妊娠管理

Management of pregnancy in a patient with severe haemophilia A.

作者信息

Dhar P, Abramovitz S, DiMichele D, Gibb C B, Gadalla F

机构信息

Weill Medical College of Cornell University, New York Presbyterian Hospital, 525 East 68th Street, Room M-323, New York, NY 10021, USA.

出版信息

Br J Anaesth. 2003 Sep;91(3):432-5. doi: 10.1093/bja/aeg177.

DOI:10.1093/bja/aeg177
PMID:12925488
Abstract

Haemophilia A is a bleeding disorder that has a spectrum of manifestations ranging from persistent bleeding after minor trauma to spontaneous haemorrhage. As an X-linked disease, it has a rare occurrence in females. We report a case of a pregnant patient with severe haemophilia A, who received epidural analgesia during labour. The prepartum, intrapartum and postpartum care of a patient with such a bleeding diathesis is discussed.

摘要

甲型血友病是一种出血性疾病,其表现范围从轻微创伤后持续出血到自发性出血。作为一种X连锁疾病,在女性中罕见。我们报告一例患有严重甲型血友病的孕妇病例,该患者在分娩期间接受了硬膜外镇痛。本文讨论了患有这种出血素质患者的产前、产时和产后护理。

相似文献

1
Management of pregnancy in a patient with severe haemophilia A.重度甲型血友病患者的妊娠管理
Br J Anaesth. 2003 Sep;91(3):432-5. doi: 10.1093/bja/aeg177.
2
Epidural placement in a patient with undiagnosed acquired haemophilia from factor VIII inhibitor.在一名因存在VIII因子抑制剂而未确诊的获得性血友病患者身上进行硬膜外穿刺置管。
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Inherited bleeding disorders in pregnancy.妊娠相关遗传性出血性疾病。
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Current practices regarding newborn intracranial haemorrhage and obstetrical care and mode of delivery of pregnant haemophilia carriers: a survey of obstetricians, neonatologists and haematologists in the United States, on behalf of the National Hemophilia Foundation's Medical and Scientific Advisory Council.关于新生儿颅内出血、产科护理以及血友病携带孕妇分娩方式的当前实践:代表美国国家血友病基金会医学与科学咨询委员会对美国产科医生、新生儿科医生和血液科医生进行的一项调查。
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Epidural analgesia for labour in a patient with neural tube defect.神经管缺陷患者分娩时的硬膜外镇痛
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Surgical management of endometriosis in a severe Hemophilia A female patient and the role of transfusion medicine specialist: A case report with review of literature.重度甲型血友病女性患者子宫内膜异位症的外科治疗及输血医学专家的作用:一例病例报告并文献复习
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J Anesth. 2021 Apr;35(2):288-302. doi: 10.1007/s00540-021-02911-1. Epub 2021 Mar 8.
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Demonstration of a novel Xp22.2 microdeletion as the cause of familial extreme skewing of X-inactivation utilizing case-parent trio SNP microarray analysis.利用病例-双亲三联体单核苷酸多态性微阵列分析证明一种新型Xp22.2微缺失是X染色体失活家族性极端偏态的原因。
Mol Genet Genomic Med. 2018 May;6(3):357-369. doi: 10.1002/mgg3.378. Epub 2018 Feb 28.
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Management of pregnancy in a patient with severe hemophilia type a.重度甲型血友病患者的妊娠管理
AJP Rep. 2013 May;3(1):29-32. doi: 10.1055/s-0032-1331376. Epub 2012 Dec 31.
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Revisiting hemophilia management in acute medicine.重新审视急性医学中的血友病管理。
J Emerg Trauma Shock. 2011 Apr;4(2):292-8. doi: 10.4103/0974-2700.82225.