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重度恒河猴血型同种免疫的强化产前血浆置换术

Intensive antenatal plasmapheresis in severe rhesus isoimmunisation.

作者信息

Fraser I D, Bothamley J E, Bennett M O, Airth G R

出版信息

Lancet. 1976 Jan 3;1(7949):6-8. doi: 10.1016/s0140-6736(76)92906-8.

DOI:10.1016/s0140-6736(76)92906-8
PMID:54566
Abstract

Intensive antenatal plasmapheresis can significantly lower Rh-antibody levels in the blood of mothers carrying babies severely affected with rhesus haemolytic disease. Twenty-seven out of forty-four mothers were successfully delivered of babies that survived, after being treated with a combination of plasmapheresis and intrauterine transfusions. A further 52 mothers were treated by plasmapheresis along. When severe disease developed as an early stage in pregnancy the results were rather poor, but excellent results were obtained when severe disease developed relatively late in pregnancy. No serious complications were encountered in the mothers or babies.

摘要

强化产前血浆置换术可显著降低患有严重恒河猴溶血病胎儿的母亲血液中的Rh抗体水平。在接受血浆置换术和宫内输血联合治疗后,44名母亲中有27名成功分娩出存活的婴儿。另有52名母亲仅接受了血浆置换术治疗。当严重疾病在妊娠早期发展时,结果相当差,但当严重疾病在妊娠相对晚期发展时,则取得了优异的结果。母亲或婴儿均未出现严重并发症。

相似文献

1
Intensive antenatal plasmapheresis in severe rhesus isoimmunisation.重度恒河猴血型同种免疫的强化产前血浆置换术
Lancet. 1976 Jan 3;1(7949):6-8. doi: 10.1016/s0140-6736(76)92906-8.
2
Letter: Intensive antenatal plasmapheresis in severe rhesus isoimmunisation.信函:重度恒河猴血型同种免疫中的强化产前血浆置换术。
Lancet. 1976 Feb 21;1(7956):421-2. doi: 10.1016/s0140-6736(76)90247-6.
3
Letter: Management of Rh isoimmunisation.信函:Rh血型免疫的管理。
Lancet. 1976 Jan 31;1(7953):256-7. doi: 10.1016/s0140-6736(76)91386-6.
4
Letter: Plasmapheresis in rhesus isoimmunisation.信件:恒河猴血型同种免疫中的血浆置换术。
Lancet. 1974 Dec 14;2(7894):1459. doi: 10.1016/s0140-6736(74)90126-3.
5
Direct intravascular fetal blood transfusion by fetoscopy in severe Rhesus isoimmunisation.在严重恒河猴血型不合溶血病中通过胎儿镜进行直接血管内胎儿输血。
Lancet. 1981 Mar 21;1(8221):625-7. doi: 10.1016/s0140-6736(81)91549-x.
6
Experience with the intrauterine transfusion in severe rhesus erythroblastosis.重度恒河猴胎儿成红细胞增多症的宫内输血经验。
Geburtshilfe Frauenheilkd. 1971 Sep;31(9):797-814.
7
Intensive plasmapheresis as a therapeutic measure in Rhesus-immunised women.强化血浆置换作为恒河猴免疫女性的一种治疗措施。
Lancet. 1970 Apr 18;1(7651):793-8. doi: 10.1016/s0140-6736(70)92406-2.
8
Plasmapheresis in Rh isoimmunisation.Rh血型免疫反应中的血浆置换术。
Lancet. 1973 Jun 2;1(7814):1253. doi: 10.1016/s0140-6736(73)90569-2.
9
Severe Rh alloimmunization and hemolytic disease of the fetus managed with plasmapheresis, intravenous immunoglobulin and intrauterine transfusion: A case report.采用血浆置换、静脉注射免疫球蛋白和宫内输血治疗的严重Rh同种免疫和胎儿溶血病:一例报告。
Transfus Apher Sci. 2015 Dec;53(3):399-402. doi: 10.1016/j.transci.2015.07.010. Epub 2015 Aug 7.
10
Letter: Continuous-flow exchange-plasmapheresis in severe rhesus isoimmunisation.信函:严重恒河猴血型同种免疫中的连续流动交换血浆置换术。
Lancet. 1974 May 25;1(7865):1051. doi: 10.1016/s0140-6736(74)90446-2.

引用本文的文献

1
Hematologic Complications of Pregnancy.妊娠的血液学并发症
Eur J Haematol. 2025 Apr;114(4):596-614. doi: 10.1111/ejh.14372. Epub 2025 Jan 10.
2
Eradication of Rh hemolytic disease of the newborn.新生儿Rh溶血病的根除
Can Med Assoc J. 1980 Dec 6;123(11):1089-91.
3
Haemolytic disease of newborn.新生儿溶血病
Indian J Pediatr. 2001 Feb;68(2):167-72. doi: 10.1007/BF02722039.
4
Adverse effect of plasma exchange on anti-D production in rhesus immunisation owing to removal of inhibitory factors.血浆置换因去除抑制因子而对恒河猴免疫中抗-D产生的不良影响。
Br Med J. 1980 Jun 28;280(6231):1569-71. doi: 10.1136/bmj.280.6231.1569.
5
Plasmapheresis in pediatric practice.儿科实践中的血浆置换术。
Indian J Pediatr. 1983 Mar-Apr;50(403):105-11. doi: 10.1007/BF02821427.
6
The Rhesus story in Northern Ireland.北爱尔兰的恒河猴事件。
Ulster Med J. 1983;52(2):94-100.
7
Passively acquired autoimmunity and the maternal fetal dyad in systemic lupus erythematosus.系统性红斑狼疮中的被动获得性自身免疫与母婴二元组
Springer Semin Immunopathol. 1986;9(2-3):283-304. doi: 10.1007/BF02099027.
8
Intrauterine fetal transfusion.宫内胎儿输血
Br Med J. 1977 Apr 16;1(6067):990.
9
Rhesus haemolytic disease.恒河猴溶血病
J Clin Pathol Suppl (R Coll Pathol). 1976;10:54-62.
10
Systemic lupus erythematosus, repeated abortions, and thrombocytopenia.系统性红斑狼疮、反复流产和血小板减少症。
Ann Rheum Dis. 1978 Oct;37(5):476-8. doi: 10.1136/ard.37.5.476.