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原发性血小板减少性紫瘢(ITP)和妊娠偶可共存。母亲血中的血小板抗体可以通过胎盘,从而导致新生儿血小板减少。本文报告静脉内注射免疫球蛋白(Ig)治疗2例妊娠时ITP成功。例1,女,30岁,孕3产0,妊娠31/32周时阴道出血。查体:上下肢有出血点,脾不大,束臂试验阳性。实验室检查:出血时间17分,血小板16×10~9/1,骨髓片示巨核细胞增多,抗核抗体阴性,直接放射免疫球
Primary thrombocytopenic purpura (ITP) and pregnancy can coexist. Platelet antibodies in the mother’s blood can pass through the placenta, resulting in neonatal thrombocytopenia. This article reports the success of intravenous immunoglobulin (Ig) injection in the treatment of 2 ITP pregnancies. Example 1, female, 30 years old, 3 pregnant 0, vaginal bleeding 31/32 weeks of pregnancy. Physical examination: upper and lower extremities bleeding, spleen, beam arm test positive. Laboratory tests: Bleeding time 17 points, platelets 16 × 10 ~ 9/1, bone marrow megakaryocytes showed increased, anti-nuclear antibody-negative, direct radioimmunoassay