CLIN CHEM:一名31岁的女性连续怀孕失败---继发性APS---案例报道

2018-05-22 MedSci MedSci原创

根据美国生殖医学协会,将复发性流产(Recurrent pregnancy loss:RPL)定义为2次或高于2次的怀孕失败,大约有5%的育龄妇女会发生RPL。RPL最常见的原因包括遗传,子宫解剖,内分泌,感染,免疫,血栓和环境因素等。 在本病例中,一名双侧上肢肿胀的31岁中国女性在妊娠20周时来急诊部门就诊。据病人主诉,在入院前3天“正常胎动”停止,但未发现腹痛或明显的阴道出血。她的体温为

根据美国生殖医学协会,将复发性流产(Recurrent pregnancy loss:RPL)定义为2次或高于2次的怀孕失败,大约有5%的育龄妇女会发生RPL。RPL最常见的原因包括遗传,子宫解剖,内分泌,感染,免疫,血栓和环境因素等。 在本病例中,一名双侧上肢肿胀的31岁中国女性在妊娠20周时来急诊部门就诊。据病人主诉,在入院前3天“正常胎动”停止,但未发现腹痛或明显的阴道出血。她的体温为36.5°C,血压为110/70 mmHg,心率为80次/分钟。然而,超声检查未发现胎儿心率或活动迹象,提示自然流产。尽管没有显著的家族史,但患者于3年前在怀孕27周时也有过1例死胎,并在引产前伴有子痫。 由于对胎儿超声检查未显示任何生命体征,患者同意在她住院的第3天使用依他吖啶(利他诺)诱导分娩。在入院当天,她的血压升高至158/82 mmHg,伴有蛋白尿(尿液化学:蛋白+4)和低血小板计数(90×10 9 / L,正常范围100-300×10 9 / L) ,符合先兆子痫的诊断。分娩期间和分娩后给予硫酸镁预防癫痫发作。分娩后,她的血压降至133/81 mmHg,其它先兆子痫症状在出院前的几天内消

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    2018-11-22 feifers
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    2018-06-02 xzw113
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    2018-05-22 1e0f8808m18(暂无匿称)

    典型案例.学习了.

    0