[一名患有遗传性大血小板减少症女性的分娩硬膜外镇痛]
[Labour epidural analgesia for a woman with hereditary macrothrombocytopenia].
作者信息
Raft J, Bayoumeu F, de Maistre E, Latger-Cannard V, Savoye E, Bouaziz H
机构信息
Service d'anesthésie-réanimation, maternité régionale de Nancy, 10, rue du Docteur-Heydenreich, 54042 Nancy cedex, France.
出版信息
Ann Fr Anesth Reanim. 2005 Jun;24(6):643-6. doi: 10.1016/j.annfar.2005.04.017.
Epidural analgesia is often considered as risk of epidural haematoma in a patient with thrombocytopenia. In this observation, uncomplicated epidural analgesia was performed in a pregnant woman with hereditary macrothrombocytopenia. She received continuous epidural labour analgesia for a vaginal delivery with a platelet count at 63x10(9)/l but platelets with high mean platelet volume (20fL) and normal function. No neurological sequelae or excessive bleeding occurred.
血小板减少的患者进行硬膜外镇痛时通常被认为有发生硬膜外血肿的风险。在本观察中，一名患有遗传性大血小板减少症的孕妇接受了无并发症的硬膜外镇痛。她在血小板计数为63×10⁹/L但平均血小板体积较高（20fL）且功能正常的情况下接受了持续硬膜外分娩镇痛以进行阴道分娩。未出现神经后遗症或过度出血情况。
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