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妊娠期遗传性出血性毛细血管扩张症

Osler-Weber-Rendu syndrome during pregnancy.

作者信息

Inocêncio G, Braga A, Lima T, Buchner G

机构信息

Obstetrics Gynaecology Department, Centro Hospitalar do Porto-Maternidade Júlio Dinis, Porto, Portugal.

出版信息

BMJ Case Rep. 2013 Jun 25;2013:bcr2013009792. doi: 10.1136/bcr-2013-009792.

Abstract

Osler-Weber-Rendu syndrome is a very rare systemic fibrovascular dysplasia. Rupture of angiomas can cause haemorrhages, which sometimes can be severe with difficult bleeding control. The main manifestation is recurrent epistaxis. Treatment of this disorder is symptomatic. During pregnancy, there may be an increased risk of complications. We describe a case of a pregnant woman with Osler-Weber-Rendu syndrome. Besides frequent epistaxis and microcytic hypochromic anaemia that resolved with oral iron treatment, she had a normal pregnancy, vaginal delivery and puerperium without complications.

摘要

奥-韦-伦综合征是一种非常罕见的系统性纤维血管发育异常。血管瘤破裂可导致出血,有时出血严重且难以控制。主要表现为反复鼻出血。这种疾病的治疗是对症治疗。在怀孕期间,并发症的风险可能会增加。我们描述了一例患有奥-韦-伦综合征的孕妇病例。除了频繁鼻出血和口服铁剂治疗后缓解的小细胞低色素性贫血外,她孕期、阴道分娩及产褥期均正常,无并发症。

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