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同种免疫性血小板减少症中的持续争议:胎儿高免疫球蛋白血症无法预防血小板减少症。

Continuing controversy in alloimmune thrombocytopenia: fetal hyperimmunoglobulinemia fails to prevent thrombocytopenia.

作者信息

Nicolini U, Tannirandorn Y, Gonzalez P, Fisk N M, Beacham J, Letsky E A, Rodeck C H

机构信息

Royal Postgraduate Medical School, Institute of Obstetrics and Gynecology, Queen Charlotte's and Chelsea Hospital, London, United Kingdom.

出版信息

Am J Obstet Gynecol. 1990 Oct;163(4 Pt 1):1144-6. doi: 10.1016/0002-9378(90)90674-v.

DOI:10.1016/0002-9378(90)90674-v
PMID:2220919
Abstract

Two patients with severe alloimmune thrombocytopenia were managed by weekly intrauterine platelet transfusions at 25 to 36 weeks. In one patient high-dose immunoglobulin was also administered weekly to the mother, and high maternal and fetal immunoglobulin levels were achieved. Fetal platelet counts were similar in both patients. The only variable that affected fetal platelet concentration was the posttransfusion platelet count from the previous transfusion.

摘要

两名患有严重同种免疫性血小板减少症的患者在孕25至36周时接受了每周一次的宫内血小板输注治疗。其中一名患者,还每周给母亲注射高剂量免疫球蛋白,使母体和胎儿的免疫球蛋白水平都达到了较高水平。两名患者的胎儿血小板计数相似。影响胎儿血小板浓度的唯一变量是前一次输血后的输血后血小板计数。

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Continuing controversy in alloimmune thrombocytopenia: fetal hyperimmunoglobulinemia fails to prevent thrombocytopenia.同种免疫性血小板减少症中的持续争议:胎儿高免疫球蛋白血症无法预防血小板减少症。
Am J Obstet Gynecol. 1990 Oct;163(4 Pt 1):1144-6. doi: 10.1016/0002-9378(90)90674-v.
2
Antenatal management of fetomaternal alloimmune thrombocytopenia--report of 15 affected pregnancies.胎儿-母体同种免疫性血小板减少症的产前管理——15例受累妊娠的报告
Transfus Med. 1994 Dec;4(4):281-92. doi: 10.1111/j.1365-3148.1994.tb00265.x.
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Management of fetal alloimmune thrombocytopenia by weekly in utero platelet transfusions.通过每周进行宫内血小板输注来管理胎儿同种免疫性血小板减少症。
Vox Sang. 1990;58(1):45-9. doi: 10.1111/j.1423-0410.1990.tb02054.x.
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Maternal intravenous immunoglobulin treatment does not prevent intracranial haemorrhage in fetal alloimmune thrombocytopenia.母体静脉注射免疫球蛋白治疗不能预防胎儿同种免疫性血小板减少症中的颅内出血。
Transfus Med. 1994 Dec;4(4):293-6. doi: 10.1111/j.1365-3148.1994.tb00266.x.
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Antenatal care in pregnancies at risk of alloimmune thrombocytopenia: report of 19 cases in 16 families.对有同种免疫性血小板减少症风险的妊娠进行的产前护理:16个家庭中19例病例报告
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Neonatal alloimmune thrombocytopenia. A case report and a review of the literature.新生儿同种免疫性血小板减少症。病例报告及文献综述。
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Prenatal management of fetal alloimmune thrombocytopenia.
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[Intrauterine transfusion in fetal alloimmunothrombocytopenia: comparison of maternal and fetal weight-adjusted IgG therapy with exclusive fetal thrombocyte transfusion].[胎儿同种免疫性血小板减少症的宫内输血:母体和胎儿体重调整IgG疗法与单纯胎儿血小板输注的比较]
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Antenatal management of fetal alloimmune and autoimmune thrombocytopenia.胎儿同种免疫性和自身免疫性血小板减少症的产前管理
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Antenatal interventions for fetomaternal alloimmune thrombocytopenia.胎儿母体型同种免疫性血小板减少症的产前干预措施。
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引用本文的文献

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A two-center study on the pharmacokinetics of intravenous immunoglobulin before and during pregnancy in healthy women with poor obstetrical histories.一项关于有不良产科史的健康孕妇在妊娠前后静脉注射用免疫球蛋白药代动力学的多中心研究。
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Antenatal interventions for fetomaternal alloimmune thrombocytopenia.
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Cochrane Database Syst Rev. 2011 May 11(5):CD004226. doi: 10.1002/14651858.CD004226.pub3.
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Intrauterine transfusion with red cells and platelets.宫内输注红细胞和血小板。
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