[Successful prophylaxis in a pregnancy with thrombophilic states].

Vutreshni bolesti Pub Date : 1999-01-01
Z Iankova, M Bogdanova
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Abstract

It has been observed that the presence of antiphospholipid antibodies (aPL) is associated with a high incidence of fetal loss and this is thought to--a result from the vasculitis of placental circulation and subsequent thrombosis. A 38-year-old woman with second fetal loss had received oral anticoagulant after pulmonary embolism. APL were examined--anticardiolipin antibodies (aCA) were found. The third pregnancy was established and sintrom was stopped and replaced by fraxiparine 0.3 ml/24 h up to the end of the pregnancy even 20 days after delivery of a healthy baby.

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[在有血栓形成状态的怀孕中成功预防]。
据观察,抗磷脂抗体(aPL)的存在与胎儿丢失的高发生率有关,这被认为是胎盘循环血管炎和随后血栓形成的结果。一个38岁的妇女,第二个胎儿丢失接受口服抗凝剂后肺栓塞。检测APL -发现抗心磷脂抗体(aCA)。建立第三次妊娠,停用辛罗酮,代之以0.3 ml/24 h的氟西帕林,直至妊娠结束,甚至在健康婴儿出生后20天。
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