论文部分内容阅读
血管性假血友病合并足月妊娠者罕见。我院自1949年以来,在171,210例次分娩中仅见一例,现报道如下: 袁××,25岁,于1981年6月15日因血管性假血友病合并足月妊娠,由外院转入本院待产。患者出生5个月后即发现有粘膜及皮下出血史,以后常有牙龈、鼻、皮下等出血。19岁月经初潮后,周期正常,但经量多。每年常因牙龈出血或鼻衄致贫血而需输血。1975年在外院作白陶土部分凝血活酶时间测定(KPTT)为96秒(正常对照44秒),阿斯匹林耐量试验阳性,诊断为血管性假血友病。入院体检贫血貌,两下肢有皮下瘀斑。临床化验:红细胞268万,血红蛋白8.1g,白细胞
Vasculogenic hemophilia combined with full-term pregnancy is rare. Only one case of 171,210 cases of childbirth has been reported in our hospital since 1949. It is reported as follows: Yuan XX, 25 years old, was transferred from the outer court on 15 June 1981 due to vasculogenic hemophilia with full-term pregnancy The hospital to be produced. Five months after the birth of the patient was found mucosal and subcutaneous bleeding history, often gums, nose, subcutaneous bleeding. After 19 years of menarche, the cycle is normal, but by the volume. Every year often due to bleeding gums or epistaxis caused by anemia and blood transfusion. In 1975 in the outer court as kaolin partial thromboplastin time (KPTT) was 96 seconds (normal control 44 seconds), aspirin tolerance test was positive, the diagnosis of von Willebrand disease. Admission examination of anemia appearance, both lower extremity ecchymosis. Clinical tests: 2.68 million red blood cells, hemoglobin 8.1g, white blood cells