新生儿同种免疫性血小板减少症的管理。

Management of isoimmune neonatal thrombocytopenia.

作者信息

Sitarz A L, Driscoll J M, Wolff J A

出版信息

Am J Obstet Gynecol. 1976 Jan 1;124(1):39-42. doi: 10.1016/0002-9378(76)90008-9.

Abstract

Two infants, who presented at birth with isoimmune thrombocytopenic purpura, are the basis for this report. The problems confronting the physician in treating an affected infant, as well as in the management of subsequent pregnancies after an infant with isoimmunization has been delivered, are discussed. In view of the small but serious risk of intracranial hemorrhage during the birth process in these infants, delivery by cesarean section is advocated for all pregnancies known to be at risk i.e., after a previous infant has been shown to be affected.

摘要

本文报告基于两名出生时患有同种免疫性血小板减少性紫癜的婴儿。文中讨论了医生在治疗患病婴儿时以及在分娩出患有同种免疫的婴儿后处理后续妊娠时所面临的问题。鉴于这些婴儿在分娩过程中发生颅内出血的风险虽小但严重，故主张对所有已知有风险的妊娠（即前一个婴儿已被证实患病后）进行剖宫产。