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血管性假血友病(Von Willcbrand 综合征,简称VWD)是一种很少见的常染色体显性遗传出血性疾病,合并妊娠者更属罕见.上海妇产科医院在171210例次分娩中仅有1例此病患者.我院最近遇到1例,因头盆不称行子宫下段剖宫产术,手术顺利,术后情况良好,现报道如下.患者32岁,住院号180861.因血管性假血友病(VWD)合并宫内妊娠39周,于1989年10月23日入院待产.末次月经1989年1月25日,停经后曾鼻衄3次.自幼轻微碰撞后即可见紫斑,两岁始经常出现鼻衄,类似的自发性出血反复发作,但近年出血频度下降,出血症状也有所减轻.患者13岁初潮时月经量极多,持续12天,用纸5包.目前月经量仍较正常
Von Willebrand syndrome (Von Willcbrand syndrome, referred to as VWD) is a rare autosomal dominant hemorrhagic disease, combined with pregnancy is even rare.Shanghai Obstetrics and Gynecology Hospital in 171210 cases of childbirth only There is a case of this disease in our hospital recently encountered in 1 case, because the first basin of lower uterine cesarean section was unsuccessful, the operation was successful, postoperative condition is good, are reported below.Patient 32 years old, hospital number 180861. Due to blood vessels Vaginal encephalopathy (VWD) combined with intrauterine pregnancy 39 weeks, admitted to hospital on October 23, 1989. The last menstrual January 25, 1989, after menopause had epistaxis 3 times since childhood after a slight collision can be seen purple , Two years old often appear epistaxis, similar spontaneous bleeding recurrent, but in recent years the frequency of bleeding decreased, bleeding symptoms have also eased.At the age of 13 menarche when the amount of very much for 12 days, with 5 packets of paper. Menstrual volume is still more than normal