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产后获得性甲型血友病:三例病例描述及文献综述

Postpartum-acquired haemophilia A: a description of three cases and literature review.

作者信息

Santoro Rita C, Prejanò Simona

机构信息

Haemophilia Center, Haemostasis and Thrombosis Service, Oncology and Haematology Department, Azienda Ospedaliera Pugliese-Ciaccio, Catanzaro, Italy.

出版信息

Blood Coagul Fibrinolysis. 2009 Sep;20(6):461-5. doi: 10.1097/MBC.0b013e32832da121.

Abstract

Postpartum-acquired haemophilia A is a rare but potentially severe complication of pregnancy. Although the natural history of the disease is usually benign, with a high percentage of spontaneous remissions and a low mortality, its quick recognition is important to control bleeding episodes. The therapeutic strategies in these patients are the treatment of acute bleeding episodes and the long-term eradication of the autoantibody. We report three different cases of postpartum-acquired haemophilia demonstrating the broad heterogeneity of the clinical presentation and of therapeutic necessity of this condition. Finally, we present a review of the literature on the current therapeutic management of this haemorrhagic disorder.

摘要

产后获得性甲型血友病是一种罕见但可能严重的妊娠并发症。尽管该疾病的自然病程通常较为良性,自发缓解率高且死亡率低,但快速识别对于控制出血发作很重要。这些患者的治疗策略是治疗急性出血发作以及长期消除自身抗体。我们报告了三例产后获得性血友病的不同病例,展示了这种疾病临床表现的广泛异质性以及治疗的必要性。最后,我们对关于这种出血性疾病当前治疗管理的文献进行了综述。

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