Anesthetic Management in A Thrombocytopenic Patient with Multiple Pregnancy

Duygu Aslan
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Abstract

Thrombocytopenia is seen by 6-10% during pregnancy, with vast majority being mild dilutional thrombocytopenia occurring due to gestational physiology, and 2% of thrombocytopenia are seen in preeclampsia and HELLP syndrome. Herein, we aimed to emphasized that early diagnosis is important and anesthetic approach is guiding in prevention of the possible complications in the mother and infant, in a case with normal follow-up in which we observed that isolated mild thrombocytopenia was the early and unique symptom of HELLP syndrome in multiple pregnancy.
多胎妊娠血小板减少患者的麻醉管理
妊娠期血小板减少发生率为6-10%,绝大多数为妊娠生理所致的轻度稀释性血小板减少,2%的血小板减少见于子痫前期和HELLP综合征。在此,我们在一个正常随访的病例中观察到孤立性轻度血小板减少是多胎妊娠HELLP综合征的早期和独特症状,旨在强调早期诊断的重要性和麻醉方法对预防母婴可能出现的并发症具有指导意义。
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