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妊娠合并 Diamond Blackfan 贫血母亲的管理挑战:病例报告。

Challenges in the management of pregnancy complicated by maternal Diamond Blackfan Anaemia: A case report.

机构信息

Department of Obstetrics and Gynaecology, Yeovil Hospital NHS Foundation Trust, United Kingdom.

出版信息

J Pak Med Assoc. 2022 Feb;72(2):357-359. doi: 10.47391/JPMA.1805.

Abstract

Diamond Blackfan Anaemia (DBA) is a rare genetic disorder, affecting red blood cells. Pregnancy in women affected by DBA should be managed as a high-risk pregnancy, as it may trigger the relapse of anaemia, and is associated with both maternal and foetal complications. Corticosteroids are the first line of treatment, but a low threshold for blood transfusion should be considered to correct low haemoglobin in pregnancy. An adequate multidisciplinary input and planning is the key to ensure optimal perinatal outcome. We decided to report this case to highlight the implications of pregnancy on DBA and vice versa, taking into consideration the safest approach for the best possible outcomes for the mother and her baby.

摘要

先天性纯红细胞再生障碍性贫血(DBA)是一种罕见的遗传性疾病,影响红细胞。患有 DBA 的女性怀孕应被视为高危妊娠,因为它可能引发贫血复发,并与母婴并发症有关。皮质类固醇是一线治疗方法,但应考虑低阈值输血以纠正妊娠期间的低血红蛋白。充分的多学科投入和规划是确保围产期结局最佳的关键。我们决定报告这个病例,以强调怀孕对 DBA 的影响,反之亦然,并考虑到为母亲及其婴儿提供最佳结果的最安全方法。

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