Frankenberg H W
Geburtshilfe Frauenheilkd. 1981 Jul;41(7):512-4. doi: 10.1055/s-2008-1037294.
The article reports on the case of a 39-year old primipara with severe idiopathic thrombocytopenic purpura (ITP). The patient, who did not respond to corticosteroids, gave birth to a healthy child after thrombocyte substitution, parturition being effected by means of Caesarean section. The article discusses pathogenesis, prognosis and the therapeutic aspects of corticosteroid treatment, platelet substitution, splenectomy and mode of delivery.
本文报道了一名39岁初产妇患有严重特发性血小板减少性紫癜(ITP)的病例。该患者对皮质类固醇治疗无反应,在进行血小板替代治疗后产下一名健康婴儿,分娩通过剖宫产进行。本文讨论了皮质类固醇治疗、血小板替代、脾切除术和分娩方式的发病机制、预后及治疗方面。