Lange J G, Griever G E, Brand A, van Roosmalen J
Leids Universitair Medisch Centrum, afd. Verloskunde, Leiden.
Ned Tijdschr Geneeskd. 1998 Oct 17;142(42):2308-11.
The combination of paroxysmal nocturnal haemoglobinuria (PNH) and pregnancy occurred in three women aged 29, 31 and 35 years. One patient had a spontaneous abortion twice after which she committed suicide. In the other two the pregnancy and parturition--assisted--were without complications. However, one woman developed post-partum abdominal crises. The children were born at term and healthy. PNH is a rare form of haemolytic anemia. Pregnancy causes lethal complications in 6% of the cases of PNH, while 30% of the pregnancies end in spontaneous abortion or stillbirth. Accurate monitoring of pregnancy and the puerperium is essential.
阵发性夜间血红蛋白尿(PNH)与妊娠并存的情况发生在三名年龄分别为29岁、31岁和35岁的女性身上。一名患者曾两次自然流产,之后自杀。另外两名患者在辅助下妊娠和分娩,过程无并发症。然而,一名女性产后出现腹部危象。孩子足月出生且健康。PNH是一种罕见的溶血性贫血形式。妊娠在6%的PNH病例中会导致致命并发症,而30%的妊娠以自然流产或死产告终。对妊娠和产褥期进行准确监测至关重要。