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自身免疫溶血性贫血(AIHA)在泰国并非少见,且多见于育龄青年妇女,所以AIHA合并妊娠比欧美多见。本文报导14例AIHA合并妊娠,并就其相互关系进行了讨论。所有病例均为19-38岁的妇女,直接抗人球蛋白试验阳性,同时分别用单价抗血清鉴定了红细胞上自身抗体的类型。 14例分成二组。第一组4例,系于妊娠的后3个月(2例于妊娠第7个月时,2例于妊娠第9个月时)首次诊断为AIHA。2例自然分娩正常婴儿,1例自然分娩一死婴。此3例产后对皮质类固醇治疗有效。另1例发
Autoimmune hemolytic anemia (AIHA) is not uncommon in Thailand, and more common in young women of childbearing age, so AIHA combined pregnancy more common in Europe and the United States. This article reports 14 cases of AIHA combined pregnancy, and its interrelationships are discussed. All cases were 19-38 years old women, direct anti-human globulin test positive, respectively, with monovalent antiserum were identified on the red blood cells on the type of autoantibodies. 14 cases divided into two groups. The first 4 patients were diagnosed with AIHA for the first time in the third month of pregnancy (2 at the 7th month of pregnancy and 2 at the 9th month of pregnancy). 2 cases of normal delivery of normal infants, 1 case of natural childbirth dead baby. The three postpartum corticosteroid therapy effective. Another case of hair