Tsai Y C, Chang J M, Chang J C, Changahien C C, Chen P H, Jeng T T
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Kaohsiung, Taiwan R.O.C.
J Formos Med Assoc. 1994 Apr;93(4):328-31.
A case of idiopathic autoimmune hemolytic anemia occurring during the third trimester of pregnancy is presented. The hemolytic process was quite severe in the mother but responded to steroid therapy. A healthy baby without evidence of hemolysis was delivered uneventfully through the vagina. We postulate the mechanism of the discuss the clinical picture, management of the disease and the possible effect on the fetus.
本文报告一例妊娠晚期发生的特发性自身免疫性溶血性贫血病例。母亲的溶血过程相当严重,但对类固醇治疗有反应。通过阴道顺利分娩出一名健康、无溶血迹象的婴儿。我们推测其机制,讨论该疾病的临床表现、治疗及对胎儿可能产生的影响。