妊娠期消耗性凝血病：一例孕中期无纤维蛋白原血症病例
[Consumption coagulopathy during pregnancy: a case of afibrinogenemia during the second trimester].
作者信息
Debiéve F, Gibon M, Thomas K, Hubinont C
机构信息
Service d'Obstétrique, Cliniques Universitaires St-Luc, Université Catholique de Louvain, Bruxelles, Belgique.
出版信息
J Gynecol Obstet Biol Reprod (Paris). 1995;24(8):860-2.
We report a case of a membrane disruption at 19 weeks 3 days of gestation complicated by a consumption coagulopathy with clotting tests suggesting primary fibrinogenolysis rather than a disseminated intravascular coagulation usually seen in such cases. A review of the literature revealed 5 cases of coagulopathy during the second trimester of pregnancy among which only two were suspected to be associated with primary fibrinogenolysis. Management of this coagulopathy is discussed.
我们报告一例妊娠19周3天时发生胎膜破裂并伴有消耗性凝血病的病例，凝血检查提示为原发性纤维蛋白溶解，而非此类病例中常见的弥散性血管内凝血。文献回顾显示，妊娠中期有5例凝血病病例，其中仅有两例疑似与原发性纤维蛋白溶解有关。本文讨论了该凝血病的处理方法。
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