地中海贫血妊娠期管理专家共识

2020-09-25 中华医学会围产医学分会 中华围产医学杂志.2020,23(9):577-584.

地中海贫血(简称地贫)是指由珠蛋白基因缺陷(突变、缺失)导致的一种或多种珠蛋白肽链合成障碍引起的遗传性慢性溶血性贫血,是临床上最常见的单基因遗传病之一。地贫基因携带者妊娠期发生与贫血相关的产科合并症与

中文标题:

地中海贫血妊娠期管理专家共识

发布日期:

2020-09-25

简要介绍:

地中海贫血(简称地贫)是指由珠蛋白基因缺陷(突变、缺失)导致的一种或多种珠蛋白肽链合成障碍引起的遗传性慢性溶血性贫血,是临床上最常见的单基因遗传病之一。地贫基因携带者妊娠期发生与贫血相关的产科合并症与并发症的风险增加;若夫妻双方均为同型地贫基因携带者,生育重型地贫患儿的风险增加。因此在参考国内外最新指南和文献的基础上制定本共识,旨在为规范育龄夫妇地贫基因携带者的筛查、遗传咨询、产前诊断和妊娠期管理提供指导。

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#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=1241760, encodeId=97cb1241e60ef, content=<a href='/topic/show?id=995241331f8' target=_blank style='color:#2F92EE;'>#地中海贫血症#</a>, beContent=null, objectType=guider, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=41331, encryptionId=995241331f8, topicName=地中海贫血症)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220519/c2ab253484ee4527a2d4e9589a4821ac/45de9bf494a54becb2ea4369c9d11e85.jpg, createdBy=7a3710, createdName=循证小兵, createdTime=Mon Aug 29 03:10:39 CST 2022, time=2022-08-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1085777, encodeId=612c1085e7742, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=5cca5577874, createdName=ms2000002042000994, createdTime=Thu Dec 30 11:36:00 CST 2021, time=2021-12-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1080325, encodeId=2fd31080325fa, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJOd6bIE19NznicDX7RhVxZl4F0MDtojLKeWboLsZFVWUIFSHKYHmGyW2RjGvYgYKbuUpVN1AoWMBw/132, createdBy=df625312865, createdName=HUAJIU, createdTime=Wed Dec 15 16:08:24 CST 2021, time=2021-12-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1008798, encodeId=7e8e1008e983e, content=很实用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=13284371996, createdName=1405a625m13暂无昵称, createdTime=Tue Aug 17 18:39:55 CST 2021, time=2021-08-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1001087, encodeId=946b100108e31, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/0B2iaRMcPSkQwqlRXUQLG7oGRFuhT19RNd5uGIPkN4WJUSvRuEQmVcvZYbqMvnwiagibaUTjO6bkBN0gRxTlqiby8w/132, createdBy=08775225586, createdName=十草, createdTime=Tue Jul 20 10:58:41 CST 2021, time=2021-07-20, status=1, ipAttribution=)]
  2. [GetPortalCommentsPageByObjectIdResponse(id=1241760, encodeId=97cb1241e60ef, content=<a href='/topic/show?id=995241331f8' target=_blank style='color:#2F92EE;'>#地中海贫血症#</a>, beContent=null, objectType=guider, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=41331, encryptionId=995241331f8, topicName=地中海贫血症)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220519/c2ab253484ee4527a2d4e9589a4821ac/45de9bf494a54becb2ea4369c9d11e85.jpg, createdBy=7a3710, createdName=循证小兵, createdTime=Mon Aug 29 03:10:39 CST 2022, time=2022-08-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1085777, encodeId=612c1085e7742, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=5cca5577874, createdName=ms2000002042000994, createdTime=Thu Dec 30 11:36:00 CST 2021, time=2021-12-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1080325, encodeId=2fd31080325fa, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJOd6bIE19NznicDX7RhVxZl4F0MDtojLKeWboLsZFVWUIFSHKYHmGyW2RjGvYgYKbuUpVN1AoWMBw/132, createdBy=df625312865, createdName=HUAJIU, createdTime=Wed Dec 15 16:08:24 CST 2021, time=2021-12-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1008798, encodeId=7e8e1008e983e, content=很实用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=13284371996, createdName=1405a625m13暂无昵称, createdTime=Tue Aug 17 18:39:55 CST 2021, time=2021-08-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1001087, encodeId=946b100108e31, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/0B2iaRMcPSkQwqlRXUQLG7oGRFuhT19RNd5uGIPkN4WJUSvRuEQmVcvZYbqMvnwiagibaUTjO6bkBN0gRxTlqiby8w/132, createdBy=08775225586, createdName=十草, createdTime=Tue Jul 20 10:58:41 CST 2021, time=2021-07-20, status=1, ipAttribution=)]
    2021-12-30 ms2000002042000994

    学习

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1241760, encodeId=97cb1241e60ef, content=<a href='/topic/show?id=995241331f8' target=_blank style='color:#2F92EE;'>#地中海贫血症#</a>, beContent=null, objectType=guider, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=41331, encryptionId=995241331f8, topicName=地中海贫血症)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220519/c2ab253484ee4527a2d4e9589a4821ac/45de9bf494a54becb2ea4369c9d11e85.jpg, createdBy=7a3710, createdName=循证小兵, createdTime=Mon Aug 29 03:10:39 CST 2022, time=2022-08-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1085777, encodeId=612c1085e7742, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=5cca5577874, createdName=ms2000002042000994, createdTime=Thu Dec 30 11:36:00 CST 2021, time=2021-12-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1080325, encodeId=2fd31080325fa, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJOd6bIE19NznicDX7RhVxZl4F0MDtojLKeWboLsZFVWUIFSHKYHmGyW2RjGvYgYKbuUpVN1AoWMBw/132, createdBy=df625312865, createdName=HUAJIU, createdTime=Wed Dec 15 16:08:24 CST 2021, time=2021-12-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1008798, encodeId=7e8e1008e983e, content=很实用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=13284371996, createdName=1405a625m13暂无昵称, createdTime=Tue Aug 17 18:39:55 CST 2021, time=2021-08-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1001087, encodeId=946b100108e31, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/0B2iaRMcPSkQwqlRXUQLG7oGRFuhT19RNd5uGIPkN4WJUSvRuEQmVcvZYbqMvnwiagibaUTjO6bkBN0gRxTlqiby8w/132, createdBy=08775225586, createdName=十草, createdTime=Tue Jul 20 10:58:41 CST 2021, time=2021-07-20, status=1, ipAttribution=)]
    2021-12-15 HUAJIU

    学习

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1241760, encodeId=97cb1241e60ef, content=<a href='/topic/show?id=995241331f8' target=_blank style='color:#2F92EE;'>#地中海贫血症#</a>, beContent=null, objectType=guider, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=41331, encryptionId=995241331f8, topicName=地中海贫血症)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220519/c2ab253484ee4527a2d4e9589a4821ac/45de9bf494a54becb2ea4369c9d11e85.jpg, createdBy=7a3710, createdName=循证小兵, createdTime=Mon Aug 29 03:10:39 CST 2022, time=2022-08-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1085777, encodeId=612c1085e7742, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=5cca5577874, createdName=ms2000002042000994, createdTime=Thu Dec 30 11:36:00 CST 2021, time=2021-12-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1080325, encodeId=2fd31080325fa, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJOd6bIE19NznicDX7RhVxZl4F0MDtojLKeWboLsZFVWUIFSHKYHmGyW2RjGvYgYKbuUpVN1AoWMBw/132, createdBy=df625312865, createdName=HUAJIU, createdTime=Wed Dec 15 16:08:24 CST 2021, time=2021-12-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1008798, encodeId=7e8e1008e983e, content=很实用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=13284371996, createdName=1405a625m13暂无昵称, createdTime=Tue Aug 17 18:39:55 CST 2021, time=2021-08-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1001087, encodeId=946b100108e31, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/0B2iaRMcPSkQwqlRXUQLG7oGRFuhT19RNd5uGIPkN4WJUSvRuEQmVcvZYbqMvnwiagibaUTjO6bkBN0gRxTlqiby8w/132, createdBy=08775225586, createdName=十草, createdTime=Tue Jul 20 10:58:41 CST 2021, time=2021-07-20, status=1, ipAttribution=)]
    2021-08-17 1405a625m13暂无昵称

    很实用

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1241760, encodeId=97cb1241e60ef, content=<a href='/topic/show?id=995241331f8' target=_blank style='color:#2F92EE;'>#地中海贫血症#</a>, beContent=null, objectType=guider, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=41331, encryptionId=995241331f8, topicName=地中海贫血症)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220519/c2ab253484ee4527a2d4e9589a4821ac/45de9bf494a54becb2ea4369c9d11e85.jpg, createdBy=7a3710, createdName=循证小兵, createdTime=Mon Aug 29 03:10:39 CST 2022, time=2022-08-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1085777, encodeId=612c1085e7742, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=5cca5577874, createdName=ms2000002042000994, createdTime=Thu Dec 30 11:36:00 CST 2021, time=2021-12-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1080325, encodeId=2fd31080325fa, content=学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJOd6bIE19NznicDX7RhVxZl4F0MDtojLKeWboLsZFVWUIFSHKYHmGyW2RjGvYgYKbuUpVN1AoWMBw/132, createdBy=df625312865, createdName=HUAJIU, createdTime=Wed Dec 15 16:08:24 CST 2021, time=2021-12-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1008798, encodeId=7e8e1008e983e, content=很实用, beContent=null, objectType=guider, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=13284371996, createdName=1405a625m13暂无昵称, createdTime=Tue Aug 17 18:39:55 CST 2021, time=2021-08-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1001087, encodeId=946b100108e31, content=学习了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/0B2iaRMcPSkQwqlRXUQLG7oGRFuhT19RNd5uGIPkN4WJUSvRuEQmVcvZYbqMvnwiagibaUTjO6bkBN0gRxTlqiby8w/132, createdBy=08775225586, createdName=十草, createdTime=Tue Jul 20 10:58:41 CST 2021, time=2021-07-20, status=1, ipAttribution=)]
    2021-07-20 十草

    学习了

    0