Leong K W, Teh A, Bosco J J, Lim J
Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Postgrad Med J. 1995 Oct;71(840):625-7. doi: 10.1136/pgmj.71.840.625.
Pregnancy following idiopathic aplastic anaemia is rare and is difficult to manage because of life-threatening episodes of bleeding and infections. Only a handful of cases has been reported in the literature. The pregnancies were unsuccessful in the majority. The present report describes a patient with moderately severe idiopathic aplastic anaemia who was managed with intensive haematological support leading to delivery of a healthy infant by caesarean section. Despite platelet transfusion refractoriness as a result of transfusions prior to pregnancy, adequate platelet transfusions prevented excessive bleeding. The literature is reviewed and management with platelet transfusions is discussed.
特发性再生障碍性贫血后妊娠较为罕见，且由于存在危及生命的出血和感染发作，管理起来颇具难度。文献中仅报道了少数病例。大多数妊娠均未成功。本报告描述了一名患有中度严重特发性再生障碍性贫血的患者，该患者在强化血液学支持下接受治疗，最终通过剖宫产分娩出一名健康婴儿。尽管由于妊娠前输血导致血小板输注无效，但充足的血小板输注预防了过度出血。本文对相关文献进行了综述，并讨论了血小板输注的管理。
