摘要
目的系统研究妊娠相关性血小板减少症的临床特征。方法回顾分析了该院2003年1月～2004年12月住院分娩的52例妊娠相关性血小板减少症(PAT)孕妇临床表现、血小板减少程度与出血的关系、分娩方式与出血量的关系以及分娩后血小板的恢复情况。结果52例PAT孕妇87%(45/52例)属于轻度血小板减少(50-99×109/L),一般无明显自发出血、剖宫产与自然分娩两种方式出血量比较无显著差别,产后血小板在2～12周恢复正常。结论PAT诊断首先应排除其他原因引起的血小板减少,轻度血小板减少PAT可自然分娩,血小板计数<20×109/L,应输注单采血小板并采取剖宫产分娩。
[Objective] To investigate and sum up the clinical features of pregnancy associated thrombocytopenia (PAT). [Methods] 52 PAT cases from Jan, 2003 to Dec. 2004 were retrospectively studied. The relationship between severity of thrombocytopenia and hemorrhage, different deliveries and blood lost, recovery of thrombocytopenia after delivery were analyzed. [Results] 87% PAT cases(45/52) had mild thrombocytopenia (50-99×109/L)and had no apparent bleeding symptoms. There was no difference of blood lost between vaginal delivery and cesarean section. Platelets counts usually recovered to normal in two to twelve weeks after delivery. [Conclusion] To make PAT diagnosis, we have to exclude other thrombocytopenia. For mild PAT cases,vaginal delivery is suggested. But PAT with platelet less than 20×109/L, single donor platelets transfusion is needed and cesarean section is the first choice for delivery.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2005年第12期1880-1881,1884,共3页
China Journal of Modern Medicine
关键词
妊娠相关性血小板减少症
出血
剖宫产
自然分娩
pregnancy associated thrombocytopenia
bleeding
vaginal delivery
cesarean section
