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一、妊娠性风疹可能是一种自身免疫性疾病,伴随妊娠葡萄胎或绒癌等与妊娠相关疾病出现的水疱性皮肤病。皮疹以水疱性多形渗出性红斑样或类天疱疮样。初发时荨麻疹样渗出性红斑,边缘有小水疱呈环状排列,小水疱可融合形成大的紧张性水疱。瘙痒严重。好发于腹部、臀部和四肢。多在孕4～6个月或刚分娩时发病,产后不久消退。患本症孕妇的新生儿生长不良、体重过低,死亡率高,但无死产的报道。高乳儿死亡率以未成熟儿多,分娩后加强护理可减少死亡率。给予中等量以下的类固醇制剂可能控制,不需终止妊娠。
First, the gestational rubella may be an autoimmune disease, accompanied by gestational hydatidiform mole or choriocarcinoma and other diseases associated with vesicular skin disease. Rash to blister polymorphism exudative erythema or pemphigoid-like. Initial urticaria-like exudative erythema, the edge of a small blister ring arranged small blisters can be integrated to form a large tension blisters. Itching is serious. Occur in the abdomen, buttocks and limbs. More in pregnancy 4 to 6 months or when the onset of childbirth, postpartum soon subsided. Pregnant women suffering from this disease poor growth of newborns, underweight, high mortality, but no reports of stillbirth. High infant mortality rate is more than immature children, strengthen nursing after childbirth can reduce mortality. It is possible to administer steroid formulations that are given in moderate amounts without termination of pregnancy.