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。