Lavery J P, Koontz W L, Liu Y K, Howell R
Obstet Gynecol. 1985 Sep;66(3 Suppl):41S-43S.
Steroid therapy remains the treatment of choice for immunologic thrombocytopenia in pregnancy. However, for cases refractory to steroid therapy, alternate forms of treatment must be used. This case report and review discusses a successful technique for acute, short-term correction of thrombocytopenia. In limited experience the administration of high-dose immunoglobulin appears to be effective for antepartum use in patients with immunologic thrombocytopenia. The concomitant or subsequent performance of splenectomy appears to be a valuable adjunct in long-term treatment of this condition.
类固醇疗法仍是妊娠期免疫性血小板减少症的首选治疗方法。然而，对于类固醇疗法难治的病例，必须采用其他治疗方式。本病例报告及综述讨论了一种成功的急性、短期纠正血小板减少症的技术。根据有限的经验，大剂量免疫球蛋白给药似乎对免疫性血小板减少症患者的产前使用有效。脾切除术的同期或后续实施似乎是该病症长期治疗中有价值的辅助手段。
