Friedman A J, Haseltine F P, Berkowitz R L
Obstet Gynecol. 1980 Apr;55(4):511-4.
A pregnant patient with cystic fibrosis and idiopathic thrombocytopenic purpura (ITP) is presented. Management of the pregnancy was complicated by the coexistence of the 2 diseases and consisted of antibiotic therapy, prolonged hospitalization, bed rest, exogenous pancreatic enzyme replacement, bronchodilators, blood and platelet transfusions, and high-dose steroids. A good outcome was obtained with cesarean section performed under local anesthesia at 32 weeks' gestation. Recommendations from the literature for the management of each disease are discussed.
本文介绍了一位患有囊性纤维化和特发性血小板减少性紫癜（ITP）的孕妇。由于这两种疾病并存，该孕妇的妊娠管理变得复杂，包括抗生素治疗、延长住院时间、卧床休息、外源性胰酶替代治疗、支气管扩张剂、输血和血小板输注以及大剂量类固醇治疗。在妊娠32周时进行局部麻醉下的剖宫产，获得了良好的结局。文中还讨论了文献中针对每种疾病管理的建议。
