中国实用妇科与产科杂志

中国实用妇科与产科杂志 ›› 2022, Vol. 38 ›› Issue (2): 153-157.DOI: 10.19538/j.fk2022020107

• 专题笔谈 • 上一篇    下一篇

产科血栓性微血管病

  

  1. 中南大学湘雅二医院妇产科，湖南 长沙 410011
  • 出版日期:2022-02-02 发布日期:2022-02-02
  • 通讯作者: 丁依玲
  • 基金资助:
    湖南省重点研发计划（2018SK2067）

Thrombotic microangiopathy encountered in obstetrics.

  1. Department of Obstetrics and Gynecology，Second Xiangya Hospital，Central South University，Changsha 410011，China
  • Online:2022-02-02 Published:2022-02-02

摘要： 血栓性微血管病是一组以微血管栓塞为病理特点的综合征，起病急、病情凶险、病死率高。因孕期少见，临床医生认识不足，易漏诊误诊。文章就其分类、发病机制、临床表现、诊断标准、鉴别诊断、治疗方案及预后进行总结归纳。

关键词: 血栓性微血管病, 血栓性血小板减少性紫癜, 溶血性尿毒综合征, 妊娠

Abstract: Thrombotic microangiopathy is a syndrome characterized by microvascular embolism，which has acute onset，rapid progression，and a high mortality.Thrombotic microangiopathy rarely happens during pregnancy，so doctors are lack of awareness of this disease，which usually leads to missed diagnosis and misdisgnosis.This article summarizes the classification，pathogenesis，clinical manifestation，diagnostic criteria,differential diagnosis,therapy and prognosis of thrombotic microangiopathies.

Key words: thrombotic microangiopathy, thrombotic thrombocytopenic purpura, hemolytic uremic syndrome, pregnancy

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