Case Description: "Are You Sure the Platelet Count is Only 2???" Cesarean Section in the Setting of Severe Thrombocytopenia

被引:0
作者
Craven, Jack M. [1 ]
Abdulhakim, Abdi [1 ]
Graham, Jamie [1 ]
Cambell, Cedric H. [1 ]
机构
[1] VCU Med Ctr, Dept Anesthesiol, Richmond, VA USA
关键词
Alloimmunization; cesarean section; thrombocytopenia; HYPOPLASIA; PREGNANCY;
D O I
10.4103/JOACC.JOACC_50_23
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Gestational thrombocytopenia, preeclampsia, and immune thrombocytopenia are commonly recognized etiologies of low platelet counts representing the vast majority of encountered gestational cases (86-100%). However, there are many other rare causes. The following case details a patient with three prior pregnancies, each remarkable for profound unexplained thrombocytopenia, which promptly normalized following delivery. It further details her fourth pregnancy, similar thrombocytopenia, an investigation into the causes, balancing platelet transfusion against the risk of alloimmunization, in-hospital treatment, and her eventual anesthetic, resuscitation, and delivery.
引用
收藏
页码:170 / 172
页数:3
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