镰状细胞病合并多胎妊娠1例

A. Masinde, B. Gumodoka, H. B. Im
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引用次数: 1

摘要

关于如何最好地管理多胎妊娠和镰状细胞病患者的信息很少。孕妇a2 Para1, 30岁女性,已知镰状细胞病,合并多胎妊娠,既往有剖腹产史,因贫血输血。因此,在治疗过程中,她的胎膜破裂了;再次进行了剖腹产手术。手术后并发子宫张力及出血,遂行子宫切除术。术后无明显变化。贫血是镰状细胞合并多胎妊娠患者的主要并发症之一,因此建议预防性输血。
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Sickle Cell Disease Complicated With Multiple Pregnancy: A Case Report
There is very little information available on how best to manage patient with multiple pregnancy and sickle cell disease. A Gravida2 Para1, 30 year-old female known patient with sickle cell disease, complicated with multiple pregnancy, and previous history of caesarean section, presented with anemia for which she was transfused. In the course of treatment she ruptured membranes, in view of this; a repeat caesarean section was performed. Operation was complicated with uterine atony and bleeding hence hysterectomy was done. Post-operative was unremarkable. Anemia is one of the major complications in a patient with sickle cell complicated with multiple gestation, hence prophylactic blood transfusion is recommended.
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