PREGNANCY ASSOCIATED WITH LUPUS ANTICOAGULANT AND HEPARIN INDUCED THROMBOCYTOPENIA - MANAGEMENT WITH A LOW-MOLECULAR-WEIGHT HEPARINOID

被引：26
作者：
VANBESIEN, K [1 ]
HOFFMAN, R [1 ]
GOLICHOWSKI, A [1 ]
机构：
[1] INDIANA UNIV HOSP,DEPT OBSTET & GYNECOL,INDIANAPOLIS,IN 46202
来源：
THROMBOSIS RESEARCH | 1991年 / 62卷 / 1-2期
关键词：
D O I：
10.1016/0049-3848(91)90665-J
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
The management of pregnant patients with coagulopathies and heparin induced thrombocytopenia is difficult and poorly defined. We report the case of a patient who was treated with a low molecular weight heparinoid. The treatment was complicated by the delayed occurrence of thrombocytopenia and a thrombotic event. This is the first report of thrombocytopenia caused by heparinoid. It is possible that this complication could have been avoided by a shorter duration of treatment with heparinoid and the use of Vitamin K antagonists during the second trimester of pregnancy.
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页码：23 / 29
页数：7
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