Bertrand C, Ville Y, Fernandez H
Service de Gynécologie-Obstétrique, Hôpital Antoine-Béclère, Clamart.
Presse Med. 1992;21(44):2142-4.
We report the case of a pregnant woman who presented with neurofibromatosis and hypertension the latter revealed by abruptio placentae. Severe hereditary hypertension was noted in the family during pregnancies that were sometimes complicated by intrauterine growth retardation, abruptio placentae and intrauterine foetal death. Thus, neurofibromatosis in a pregnant woman has a poor obstetrical outcome when it is associated with a personal or family history of hypertension. Such women must be treated with extreme care and hospitalized at the end of the third trimester. The advisability of prevention with low-dose aspirin during the first trimester is discussed.
我们报告了一例患有神经纤维瘤病和高血压的孕妇病例，后者由胎盘早剥引发。在家族中发现严重遗传性高血压，孕期有时并发宫内生长迟缓、胎盘早剥和宫内胎儿死亡。因此，孕妇患有神经纤维瘤病且伴有个人或家族高血压病史时，产科结局不佳。此类女性必须格外小心地进行治疗，并在孕晚期住院。文中讨论了孕早期使用低剂量阿司匹林进行预防的可行性。
