Schwartz M L, Brenner W
Obstet Gynecol. 1985 Mar;65(3 Suppl):53S-55S.
A case of severe preeclampsia in which hemolysis and rapid platelet consumption persisted after delivery, but in which the blood urea nitrogen and serum glutamic oxaloacetic acid transaminase levels returned to normal is presented. Antiplatelet aggregating medications and exchange plasmapheresis with fresh frozen plasma were begun on the eighth postpartum day, but the hemolysis and rapid platelet consumption did not begin to improve until the 12th postpartum day. The use of plasmapheresis in highly selected cases of severe preeclampsia with hemolysis and thrombocytopenia that do not resolve after delivery is discussed.
本文报告1例重度子痫前期患者，其产后溶血和血小板迅速消耗持续存在，但血尿素氮和血清谷草转氨酶水平恢复正常。产后第8天开始使用抗血小板聚集药物并进行新鲜冰冻血浆置换，但溶血和血小板迅速消耗直到产后第12天才开始改善。本文还讨论了在高度选择的产后溶血和血小板减少未缓解的重度子痫前期病例中使用血浆置换的情况。
