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由血小板特异性抗体(抗P1A1)引起的新生儿免疫性血小板减少症(作者译)

[Immunothrombocytopenia of the newborn caused by platelet-specific antibodies (anti-P1A1) (author's transl)].

作者信息

Mueller-Eckhardt C, Förster C, Kayser W, Mueller-Eckhardt G, Frisch H, Grips M, Kachel W, Kobel H F, von Kries R, Mutz I, Schönwetter M

出版信息

Dtsch Med Wochenschr. 1982 Feb 12;107(6):216-9. doi: 10.1055/s-2008-1069902.

Abstract

For the first time in the German speaking area 8 cases of neonatal immunothrombocytopenia caused by platelet-specific P1A1 antibodies could be ascertained. The disease is caused by fetomaternal incompatibility against platelet antigens. All mothers were healthy. The children showed a postnatal tendency for petechial haemorrhages. Cerebral haemorrhages occurred in two cases. Optimal treatment consists of administration of P1A1-negative platelets (perhaps of the mother). Demonstration of platelet antibodies is possible nowadays by adequate serological methods.

摘要

在德语区首次确诊了8例由血小板特异性P1A1抗体引起的新生儿免疫性血小板减少症。该疾病由胎儿与母亲血小板抗原不相容所致。所有母亲均健康。患儿出生后有瘀点出血倾向。两例出现脑出血。最佳治疗方法是输注P1A1阴性血小板(可能是母亲的血小板)。如今通过适当的血清学方法可以检测出血小板抗体。

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