妊娠期抗凝血酶缺乏症
Antithrombin deficiency in pregnancy.
作者信息
Durai Shivani, Tan Lay Kok, Lim Serene
机构信息
Department of Obstetrics & Gynaecology, Singapore General Hospital, Singapore, Singapore.
出版信息
BMJ Case Rep. 2016 May 20;2016:bcr2015213310. doi: 10.1136/bcr-2015-213310.
Abstract
We present a case of a 39-year-old, gravida 3 para 2, Chinese female with a history of inherited type 1 Antithrombin deficiency and multiple prior episodes of venous thromboembolism. She presented at 29+4 weeks' gestation with severe pre-eclampsia complicated by haemolysis, elevated liver enzymes and low platelet (HELLP) syndrome. She subsequently underwent an emergency caesarean section for non-reassuring fetal status, which was complicated by postpartum haemorrhage secondary to uterine atony, requiring a B-Lynch suture intraoperatively.
摘要
我们报告一例39岁、孕3产2的中国女性病例，她有遗传性1型抗凝血酶缺乏病史，既往有多次静脉血栓栓塞发作史。她在妊娠29 + 4周时因重度子痫前期合并溶血、肝酶升高和血小板减少（HELLP）综合征就诊。随后，因胎儿情况不稳定，她接受了急诊剖宫产，术中因子宫收缩乏力继发产后出血，需行B-Lynch缝合术。
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