摘要
目的探讨妊娠合并血小板减少的病因和围生期的处理方法。方法回顾分析28例妊娠合并血小板减少患者的临床资料,使用糖皮质激素、免疫球蛋白及成分输血等治疗方法。结果28例血小板减少的病因为妊娠期特发性血小板减少13例,HELLP综合征4例、特发性血小板减少性紫癜3例、再生障碍性贫血2例、脾功能亢进1例及不明病因5例。早产3例,阴道分娩6例、剖宫产19例。结论妊娠合并血小板减少处理的重点是治疗病因,加强监护,适时提升血小板数,防止分娩期出血。
Objective To investigate the cause and optimal management of pregnant women with thrombocytopia. Methods The outcome of 28 pregnancies with thrombocytopenia was analyzed respectively. Amount of blood platelet was increased by giving prednisone,immune-globulin and transfusion. Results Cases of pregnancies with thrombocytopenia were 13 gestitational thrombocytopenia ,4 HELLP syndrome, 3 idiopathic thrombocytopenia purpura（ITP）, 1 aplastic anemia and 5 hypersplenism. Among 28 pregnant women,premature delivery, vaginal delivery and cesarean section were 3,6 and 19 cases respcetively. Conclusions The managing etiology, monitoring fetues, increasing amount of blood platelet and preventing postpartum hemorrhage are important principle to get good outcome of pregnancy with thrombocytopenia.
出处
《临床输血与检验》
CAS
2007年第3期232-234,共3页
Journal of Clinical Transfusion and Laboratory Medicine
关键词
妊娠
血小板减少
妊娠结局
Pregnancy Thrombocytopenia Pregnant outcome
