在16周的部分胎怀孕中,阴,HELLP和PRES
Daniel Core1, Hayley Vervaeke1, Kenna Leethy1
1Obstetrics and Gynecology, Louisiana State University Health Sciences Center Shreveport, Shreveport, Louisiana, USA.
BMJ case reports
|June 18, 2024
概括
在妊娠20周之前,胎可能会导致早发性黄昏症谱系障碍. 这一案例凸显了需要查胎患者是否有高血压疾病的必要性.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 生殖内分泌学 生殖内分泌学
背景情况:
- 黄昏症谱系障碍通常在妊娠20周后表现出来.
- 胎怀孕,一种孕期热囊细胞疾病的形式,与阴谱系障碍有关.
- 这种关联可能会导致先前症状的早期出现.
研究的目的:
- 在患有部分胎怀孕的患者中报告早期出现的黄昏症谱系障碍病例.
- 为了强调这些疾病在胎怀孕中早期表现的可能性.
- 建议在有胎怀孕的患者中对高血压疾病进行查.
主要方法:
- 一个20多岁的孕妇在怀孕16周时的案例报告.
- 呈现出赤斑,血液溶解,肝酶升高和低血小板综合征 (HELLP) 和后部可逆脑病综合征 (PRES) 的症状.
- 诊断工具包括超声波以确认胎怀孕和病理检查与心脏类型 (69,XYY).
主要成果:
- 患者在怀孕16周时出现了部分水性形.
- 她发展了包括HELLP和PRES在内的黄昏症谱系障碍,比典型的发病时间早得多.
- 病理学证实了部分胎怀孕的三倍体69,XYY型.
结论:
- 摩尔胎怀孕,包括部分水形摩尔,与早期发作的黄昏症谱系障碍的风险增加有关.
- 这一案例强调了认识到严重高血压疾病在妊娠20周之前在胎怀孕中表现出来的可能性的重要性.
- 对于被诊断患有胎怀孕的孕妇,建议对高血压疾病进行例行查.
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