在患抗心脂质综合征的孕妇中,采用免疫抑制剂和抗血栓形成药物通常可改善胎儿状况。Frampton等曾报道1例采用血浆置换疗法成功地改善了胎儿预后。作者们报道另1例用阿斯匹林和强的松龙不足以预防严重胎盘功能不全的病人经血浆置换疗法改善了妊娠结局。患者29岁,以往3次妊娠均在妊娠中期,胎儿死亡。第2次妊娠时,从孕前即开始服阿斯匹林,可是在死产前2周停服。此后不久,病人出现了多 In pregnant women with anti-lipid syndrome, the use of immunosuppressive agents and antithrombotic drugs usually improves fetal status. Frampton et al. Reported that 1 case of plasma exchange therapy successfully improved fetal prognosis. The authors report that another case of pregnancy with aspirin and prednisolone was insufficient to prevent severe placental insufficiency by plasma exchange therapy to improve pregnancy outcomes. Patient 29 years old, the past three pregnancies were in the second trimester of pregnancy, fetal death. In the second pregnancy, aspirin was given from the time of pre-pregnancy, but was stopped 2 weeks before die. Shortly after, the patient appeared more