Murray Nigel P, Garcia Claudio, Ilabaca Javier, Lagos Nestor
Department of Hematology, Hospital de Carabineros de Chile, Simon Bolivar 2200, Nuñoa, 7770199 Santiago, Chile ; Faculty of Medicine, University Mayor, Renato Sanchez 4369, Las Condes, 7550224 Santiago, Chile.
Faculty of Medicine, University Mayor, Renato Sanchez 4369, Las Condes, 7550224 Santiago, Chile ; Feto-Maternity Unit, Hospital de Carabineros de Chile, Simon Bolivar 2200, Nuñoa, 7770199 Santiago, Chile.
Case Rep Obstet Gynecol. 2014;2014:628386. doi: 10.1155/2014/628386. Epub 2014 Dec 1.
Patients with inherited bleeding disorders are rare in obstetric practice but present with prolonged bleeding even after minor invasive procedures. They require a combined approach with obstetric and hematological management of each case, including the neonatal management of a possibly affected fetus. We present the case of a pregnancy in a patient with combined Factor VII deficiency and Glanzmann's thrombasthenia, the successful obstetric and hematological management of the case, and a review of the literature.
遗传性出血性疾病患者在产科实践中较为罕见,但即使在进行小的侵入性手术后也会出现出血时间延长的情况。对于每一例患者,都需要产科和血液科联合管理,包括对可能受影响胎儿的新生儿管理。我们报告一例合并因子VII缺乏症和Glanzmann血小板无力症患者的妊娠病例,该病例成功的产科和血液科管理过程,并对相关文献进行综述。