Diagnosis and treatment of transient neonatal thrombocytopenia (Draft clinical recommendations for discussion by specialists)
- 作者: Ivanov D.O.1, Chumakova G.N.1, Balashova E.N.2, Belousova T.V.3, Bem E.V.1, Kazantseva A.Y.1, Levadneva M.I.1, Myznikova I.V.1, Pavlova S.E.1, Panchenko A.S.1, Pshenichnaya K.I.1, Romanova L.A.1, Subora N.V.1, Fedorova L.A.1, Yakovleva E.E.1
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隶属关系:
- Saint Petersburg State Pediatric Medical University
- Research Center for Obstetrics, Gynecology and Perinatology
- Novosibirsk State Medical University
- 期: 卷 15, 编号 3 (2024)
- 页面: 85-105
- 栏目: Draft clinical recommendations
- URL: https://journals.eco-vector.com/pediatr/article/view/642135
- DOI: https://doi.org/10.17816/PED15385-105
- ID: 642135
如何引用文章
详细
Transient neonatal thrombocytopenia occurs with a frequency of 0.7–0.9% and is divided by etiological factor into primary (alloimmune and transimmune) and secondary (symptomatic) thrombocytopenia, according to the time of occurrence of thrombocytopenia is divided into early and late. The main clinical manifestation of thrombocytopenia is hemorrhagic syndrome of varying severity, which occurs in 20–30% of newborns with thrombocytopenia, in other newborns thrombocytopenia is asymptomatic. The most severe clinical symptom is intracranial hemorrhages, which occur in 10–30% of cases. The most common types of bleeding of the platelet-vascular type are petechiae, ecchymoses, nosebleeds, melena, hematuria, cephalohematoma and other types of bleeding. In dynamics, symptoms of posthemorrhagic anemia may appear with massive bleeding (pallor, tachycardia, tachypnea, decreased blood pressure). The main criterion for the diagnosis of transient neonatal thrombocytopenia is a decrease in the number of platelets below the reference values for a given gestational and chronological age of a newborn child. To diagnose the type of thrombocytopenia, a thorough collection of maternal anamnesis is necessary, examination of parents if they suspect the immune nature of the disease, diagnosis of the disease as a result of which thrombocytopenia has developed, if it is secondary. Correction of thrombocytopenia, if indicated, is carried out by intravenous administration of platelet concentrate. If the immune nature of thrombocytopenia with severe thrombocytopenia is suspected and/or the presence of moderate and higher hemorrhagic syndrome, the administration of normal human immunoglobulin is recommended. If immunoglobulin therapy for immune thrombocytopenia is ineffective, glucocorticoids are prescribed.
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作者简介
Dmitry Ivanov
Saint Petersburg State Pediatric Medical University
Email: delopro@gpmu.org.ru
ORCID iD: 0000-0002-0060-4168
SPIN 代码: 4437-9626
MD, PhD, Dr. Sci. (Medicine), Professor, Chief neonatologist of the Ministry of Health of the Russian Federation, Head of the Department of Neonatology with Сourses in Neurology and Obstetrics and Gynecology of Faculty of Retraining and Additional Professional Education, Rector
俄罗斯联邦, Saint PetersburgGalina Chumakova
Saint Petersburg State Pediatric Medical University
编辑信件的主要联系方式.
Email: zelchum-neo@yandex.ru
ORCID iD: 0000-0001-5353-4610
SPIN 代码: 1821-0198
MD, PhD, Dr. Sci. (Medicine), Professor of the Department of Neonatology with courses in Neurology and Obstetrics and Gynecology of Faculty of Retraining and Additional Professional Education
俄罗斯联邦, Saint PetersburgEkaterina Balashova
Research Center for Obstetrics, Gynecology and Perinatology
Email: katbal99@gmail.com
ORCID iD: 0000-0002-3741-0770
SPIN 代码: 1335-1489
MD, PhD, Assistant of the Department of Neonatology
俄罗斯联邦, MoscowTamara Belousova
Novosibirsk State Medical University
Email: belousovatv03@yandex.ru
ORCID iD: 0000-0002-4234-9353
SPIN 代码: 9651-0155
MD, PhD, Dr. Sci. (Medicine), Professor, Honored Doctor of Russia, Head of the Department of Pediatrics and Neonatology
俄罗斯联邦, NovosibirskElena Bem
Saint Petersburg State Pediatric Medical University
Email: e.bohm@inbox.ru
ORCID iD: 0009-0008-9337-5667
SPIN 代码: 2811-5938
MD, PhD, Assistant of the Department of Neonatology with courses in Neurology and Obstetrics and Gynecology of Faculty of Retraining and Additional Professional Education
俄罗斯联邦, Saint PetersburgAnastasia Kazantseva
Saint Petersburg State Pediatric Medical University
Email: enotz@inbox.ru
ORCID iD: 0000-0002-1234-9416
SPIN 代码: 7175-8776
Hematologist, Oncohematology Department
俄罗斯联邦, Saint PetersburgMarina Levadneva
Saint Petersburg State Pediatric Medical University
Email: m-lev11@yandex.ru
ORCID iD: 0000-0001-6716-7567
SPIN 代码: 2780-6674
Head of the Department of Newborn Physiology at the Perinatal Center, Assistant of the Department of Neonatology with Сourses in Neurology and Obstetrics and Gynecology of Faculty of Retraining and Additional Professional Education
俄罗斯联邦, Saint PetersburgIrina Myznikova
Saint Petersburg State Pediatric Medical University
Email: irinayurko2014@yandex.ru
ORCID iD: 0000-0002-8624-1854
Head of the Department of Pathology of Newborns and Young Children of the Perinatal Center, Assistant of the Department of Neonatology with courses in Neurology and Obstetrics and Gynecology of Faculty of Retraining and Additional Professional Education
俄罗斯联邦, Saint PetersburgSvetlana Pavlova
Saint Petersburg State Pediatric Medical University
Email: svetlanapav.spb@mail.ru
ORCID iD: 0000-0001-5423-0950
SPIN 代码: 1761-4768
Assistant Professor of the Department of Neonatology with courses of Neurology and Obstetrics and Gynecology of Faculty of Retraining and Additional Professional Education
俄罗斯联邦, Saint PetersburgAleksandra Panchenko
Saint Petersburg State Pediatric Medical University
Email: sashawomen18@mail.ru
ORCID iD: 0000-0003-2313-3941
SPIN 代码: 9552-2350
MD, PhD, Dr. Sci. (Medicine), Professor of the Department of Neonatology with Courses of Neurology and Obstetrics and Gynecology of Faculty of Retraining and Additional Professional Education
俄罗斯联邦, Saint PetersburgKsenia Pshenichnaya
Saint Petersburg State Pediatric Medical University
Email: kpshenichnay@yandex.ru
ORCID iD: 0009-0001-7172-7931
SPIN 代码: 8603-5705
MD, PhD, Dr. Sci. (Medicine), Professor of the Professor I.M. Vorontsov Department of Children’ Diseases of Faculty of Retraining and Additional Professional Education
俄罗斯联邦, Saint PetersburgLarisa Romanova
Saint Petersburg State Pediatric Medical University
Email: l_romanova2011@mail.ru
ORCID iD: 0000-0003-0828-352X
SPIN 代码: 6460-5491
MD, PhD, Associate Professor of the Department of Neonatology with courses in Neurology and Obstetrics and Gynecology of Faculty of Retraining and Additional Professional Education
俄罗斯联邦, Saint PetersburgNina Subora
Saint Petersburg State Pediatric Medical University
Email: matchenkova@inbox.ru
ORCID iD: 0000-0001-9153-3803
SPIN 代码: 6943-3382
Hematologist, Oncohematology Department
俄罗斯联邦, Saint PetersburgLarisa Fedorova
Saint Petersburg State Pediatric Medical University
Email: arslarissa@rambler.ru
ORCID iD: 0000-0001-9747-762X
SPIN 代码: 5474-0902
MD, PhD, Associate Professor of the Department of Neonatology with courses in Neurology and Obstetrics and Gynecology of Faculty of Retraining and Additional Professional Education
俄罗斯联邦, Saint PetersburgEkaterina Yakovleva
Saint Petersburg State Pediatric Medical University
Email: eeiakovleva@mail.ru
ORCID iD: 0000-0002-0270-0217
SPIN 代码: 6728-7340
MD, PhD, Head of the Department of Clinical Pharmacology, Associate Professor of the Department of Pharmacology with the course of Clinical Pharmacology and Pharmacoeconomics
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