Uchikova E, Pechlivanov B, Parahuleva N, Amaliev G
Akush Ginekol (Sofiia). 2014;53(5):49-51.
Glanzmann thrombasthenia (GT) is a rare autosomal recessive disorder which deficiency of the platelet glycoprotein IIb - III a. The disorder usually manifests as severe mucocutaneus bleeding in the chaildhood, menstrual patterns in pubertal--adolescent years, rarely life-threatening. Pregnancy and delivery in patients with TG are very rare and are associated with high risk for mother and fetus due to intra - and post-partum hemorrhage. We present a case 30, a patient with TG, emergency births by caesarean section, with intra- and postpartum haemorrhage managed through the use of recombinant factor VIIa, transfusion of packed red blood cells and platelets.
Glanzmann血小板无力症(GT)是一种罕见的常染色体隐性疾病,其特征是血小板糖蛋白IIb - IIIa缺乏。该疾病通常在儿童期表现为严重的黏膜皮肤出血,在青春期出现月经异常,很少危及生命。GT患者的妊娠和分娩非常罕见,并且由于产前和产后出血,母婴面临高风险。我们报告一例30岁的GT患者,通过剖宫产紧急分娩,术中及产后出血通过使用重组凝血因子VIIa、输注浓缩红细胞和血小板进行处理。