摘要
目的探讨妊娠期血小板减少的原因及l临床处理方法。方法回顾性分析衢州市妇幼保健院2000—2005年间60例妊娠合并血小板减少患者临床资料。结果妊娠期血小板减少的患者中，75％（45例）为妊娠期血小板减少症（GT），15％（9例）为妊娠高血压综合征（PIH），5％（3例）为特发性血小板减少性紫癜（ITP），1例为系统性红斑狼疮（SLE），1例为药物性血小板减少性紫癜，1例为妊娠胆汁郁积症（ICP）。其中GT组不需特别处理，PIH组以糖皮质激素及输血小板为主，ITP组以糖皮质激素或免疫球蛋白（IVIG）为主，血小板〈50×10^9／L时输注浓缩血小板。全部病例无孕产妇死亡或新生儿血小板减少。结论妊娠期血小板减少原因较多，应根据不同病因，采用不同的处理方法。
Objective To study the causes and management of thrombocytopenia during pregnancy. Methods The data of 60 cases of thrombocytopenia during pregnancy in the Women＇s and Children＇s Hospital of Quzhou ,Zhejiang from 2000 to 2005 were analyzed retrospectively. Results Of them,75% were gestational thrombocytopenia（ GT）, 15 % were hypertensive disorders during pregnancy,and 5% were idiopathic thrombocytopenia purpura （ITP）. Special treament was not necessary for the patients with GT;prednison and platelet transfusion were primary treament for those with PIH, and for ITP,prednison or in travenous immunoglobulin（IVIG） was the first choice. The transfusion of platelet was necessary for the patients with platelet less than 50 - 109/L. In all cases, no maternal death occurred, and no neonatal thrombocytopenia was observed. Conclusion Several kinds of disorders during pregnancy can cause gestational thrombocytopenia. The treatment should be different according to different causes.
出处
《临床医学》
CAS
2007年第2期25-26,共2页
Clinical Medicine
关键词
妊娠
血小板减少症
Gestation
Thrombocytopenia
