Peripartum management of a patient with Glanzmann's thrombasthenia using Thrombelastograph®

被引:37
作者
Monte, S [1 ]
Lyons, G [1 ]
机构
[1] St James Univ Hosp, Dept Obstet Anaesthesia, Leeds LS9 7TF, W Yorkshire, England
关键词
complications; Glanzmann's thrombasthenia; haemorrhage; anaesthesia; obstetric; equipment; Thrombelastograph; (R);
D O I
10.1093/bja/88.5.734
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
We describe the perioperative management of a 31-yr-old primipara with Glanzmann's thrombasthenia, who required urgent Caesarean delivery at 33 weeks' gestation. Peripartum haemorrhage was inevitable and was pre-empted by transfusion of multiple blood products, the effects of which were monitored by Thrombelastograph((R)). The blood products given are discussed.
引用
收藏
页码:734 / 738
页数:5
相关论文
共 8 条
[1]   ANTIBODY REMOVAL THERAPY USED SUCCESSFULLY AT DELIVERY OF A PREGNANT PATIENT WITH GLANZMANN THROMBASTHENIA AND MULTIPLE ANTIPLATETLET ANTIBODIES [J].
ITO, K ;
YOSHIDA, H ;
HATOYAMA, H ;
MATSUMOTO, H ;
BAN, C ;
MORI, T ;
SUGIYAMA, T ;
ISHIBASHI, T ;
OKUMA, M ;
UCHINO, H ;
MARUYA, E ;
OKI, A ;
SAJI, H ;
HOSOI, T ;
TANOUE, K ;
TOMIYAMA, Y ;
KURATA, Y .
VOX SANGUINIS, 1991, 61 (01) :40-46
[2]  
Kashyap R, 1997, J Obstet Gynaecol Res, V23, P247
[3]  
LAURSEN B, 1992, EUR J HAEMATOL, V49, P143
[4]   The factor VII-Platelet interplay: Effectiveness of recombinant factor VIIa in the treatment of bleeding in severe thrombocytopathia [J].
Monroe, DM ;
Hoffman, M ;
Allen, GA ;
Roberts, HR .
SEMINARS IN THROMBOSIS AND HEMOSTASIS, 2000, 26 (04) :373-377
[5]  
ORLIKOWSKI CEP, 1994, INT ANESTHESIOL CLIN, V32, P173, DOI 10.1097/00004311-199400000-00013
[6]  
Robinson LS, 2001, BRIT J ANAESTH, V86, p309P
[7]   Glanzmann's thrombasthenia in pregnancy: A case and review of the literature [J].
Sherer, DM ;
Lerner, R .
AMERICAN JOURNAL OF PERINATOLOGY, 1999, 16 (06) :297-301
[8]  
Tuman KJ, 1991, ANESTHESIOLOGY, V75, pA433