Kleine W
Universitäts-Frauenklinik Freiburg.
Arch Gynecol Obstet. 1989;245(1-4):829-32. doi: 10.1007/BF02417579.
Over the past 20 years, 16 pregnancies with thrombocytopenia were observed. Fourteen of these cases were afflicted with immune thrombocytopenic purpura (ITP, M, Werlhof). Antenatal treatment of the mothers (e.g., with corticosteroids) varied and is discussed. The methods of delivery were spontaneous vaginal (nine) or cesarean section (five). Except for one neonatal death (28th week of gestation), no significant hemorrhagic morbidity occurred. On the basis of this experience and the literature, an individual management of delivery for parturient patients with ITP is proposed.
在过去20年中，观察到16例妊娠合并血小板减少症的病例。其中14例患有免疫性血小板减少性紫癜（ITP，M，韦尔霍夫病）。母亲的产前治疗（如使用皮质类固醇）各不相同，并对此进行了讨论。分娩方式为自然阴道分娩（9例）或剖宫产（5例）。除1例新生儿死亡（妊娠28周）外，未发生明显的出血性并发症。基于这一经验和文献，提出了对ITP产妇进行个体化分娩管理的建议。
