Current Approaches to the Evaluation and Management of the Fetus and Neonate with Immune Thrombocytopenia

被引:44
作者
Bussel, James B. [1 ]
Sola-Visner, Martha [2 ,3 ]
机构
[1] New York Presbyterian Hosp, Weill Cornell Med Coll, Div Pediat Hematol Oncol, New York, NY 10065 USA
[2] Harvard Univ, Sch Med, Boston, MA USA
[3] Childrens Hosp Boston, Boston, MA USA
关键词
newborn; fetus; thrombocytopenia; platelet transfusions; IVIG; FETAL ALLOIMMUNE THROMBOCYTOPENIA; INTRACRANIAL HEMORRHAGE; PLATELET TRANSFUSION; ANTENATAL MANAGEMENT; MAIPA ASSAY; RISK; ANTIGEN; CORDOCENTESIS; ANTIBODY; THERAPY;
D O I
10.1053/j.semperi.2008.10.003
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Fetal and neonatal alloimmune thrombocytopenia is not a well-known disease, except among specialists in maternal-fetal medicine, neonatologists, and certain pediatricians (ie, hematologists). However, this is by far the most common cause of early severe thrombocytopenia in neonates and of intracranial hemorrhage in term neonates. In addition, if a newborn is affected with alloimmune thrombocytopenia, the next child in the family will likely be more severely affected. Thus, the accurate diagnosis and appropriate management of this disorder are of extreme importance in perinatal medicine and will constitute the focus of this review.
引用
收藏
页码:35 / 42
页数:8
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