Pandey Maitree, Saraswat Namita, Vajifdar Homay, Chaudhary Lalita
Department of Anaesthesia, Lady Hardinge Medical College, New Delhi, India.
Indian J Anaesth. 2010 Sep;54(5):470-1. doi: 10.4103/0019-5049.71036.
Conservative management of subdural haematoma with antioedema measures in second gravida with idiopathic thrombocytopenic purpura (ITP) resulted in resolution of haematoma. We present a case of second gravida with ITP who developed subdural haematoma following normal vaginal delivery. She was put on mechanical ventilation and managed conservatively with platelet transfusion, Mannitol 1g/kg, Dexamethasone 1mg/kg and Glycerol 10ml TDS. She regained consciousness and was extubated after 48 hrs. Repeat CT after 10 days showed no mass effect with resolving haematoma which resolved completely after 15 days. Trial of conservative management is safe in pregnant patient with ITP who develops subdural haematoma.
对患有特发性血小板减少性紫癜（ITP）的二胎孕妇采用抗水肿措施对硬膜下血肿进行保守治疗，血肿得以消退。我们报告一例患有ITP的二胎孕妇，在正常阴道分娩后发生硬膜下血肿。她接受了机械通气，并通过输注血小板、1g/kg甘露醇、1mg/kg地塞米松和每日三次10ml甘油进行保守治疗。她恢复了意识，并在48小时后拔管。10天后复查CT显示无占位效应，血肿正在消退，15天后血肿完全消退。对于患有ITP且发生硬膜下血肿的孕妇，保守治疗试验是安全的。
