胎盘绒毛膜血管瘤的罕见并发症：一名早产新生儿的消耗性凝血病和高血压
Unusual complications of placental chorioangioma: consumption coagulopathy and hypertension in a preterm newborn.
作者信息
Abiramalatha Thangaraj, Sherba Betsy, Joseph Reny, Thomas Niranjan
机构信息
Department of Neonatology, Christian Medical College, Vellore, Tamil Nadu, India.
出版信息
BMJ Case Rep. 2016 May 6;2016:bcr2016215734. doi: 10.1136/bcr-2016-215734.
Abstract
We report a case of a preterm neonate born to a mother with giant placental chorioangioma. The baby had microangiopathic haemolytic anaemia, thrombocytopenia and cardiac failure at birth. In addition, she had a disseminated intravascular coagulation-like picture and had bleeding from multiple sites, which was treated with transfusion of multiple blood products. She also developed transient hypertension and required antihypertensive drugs for 3 weeks. The baby was successfully managed and discharged home, though with signs of neurosensory impairment.
摘要
我们报告了一例母亲患有巨大胎盘绒毛膜血管瘤的早产新生儿病例。该婴儿出生时患有微血管病性溶血性贫血、血小板减少症和心力衰竭。此外，她呈现出弥散性血管内凝血样表现，并有多处出血，通过输注多种血液制品进行治疗。她还出现了短暂性高血压，需要使用抗高血压药物3周。尽管有神经感觉障碍的迹象，但该婴儿最终成功治愈并出院回家。
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