摘要
目的:探讨妊娠高血压综合征(HIP)并发特发性血小板减少性紫癜(ITP)的围生期处理方法及母婴结局。方法:回顾性分析我院32例妊娠高血压综合征并发特发性血小板减少性紫癜患者的临床资料。结果:在治疗原发病的基础上,根据病情轻重不同采用糖皮质激素、血小板制剂、丙种球蛋白等治疗。其中,中期引产5例,阴道分娩13例,剖宫产14例,发生率为7.1%,胎死宫内1例。结论:糖皮质激素、血小板制剂、丙种球蛋白是治疗妊娠HIP并发ITP的有效方法,血小板计数<50×109/L应在血源充分的情况下行剖宫产。
Objective： To investigate pregnancy-induced hypertension syndrome （HIP） complicated with idiopathic thrombocytopenic purpura （ITP） of the perinatal outcome of treatment on mother and children. Methods： 32 cases of pregnancyinduced hypertension in our hospital syndrome complicated with idiopathic thrombocytopenic purpura in patients with clinical data were retrospectively analyzed. Results： In the treatment of primary disease, based on the severity of the different use of eorticosteroids, platelet preparations, such as gamma globulin treatment. 5 cases in which the medium-term abortion, 13 cases of vaginal delivery, cesarean section in 14 cases, the incidence was 7.1%, fetal death in 1 case. Conclusion： Glucocorticoid, platelet preparations, gamma globulin treatment for pregnancy-HIP is an effective way to treat ITP, platelet count〈50×10^9/L should be full of blood downstream cesarean section.
出处
《中国医药导报》
CAS
2010年第13期38-39,共2页
China Medical Herald
