摘要
目的 探讨妊娠合并特发性血小板减少性紫癜（idiopathic thrombocytopeinc purpura,ITP）对胎儿及新生儿血小板的影响.方法选取我院2001年6月～2012年8月妊娠合并特发性血小板减少性紫癜患者56例,分别于孕16周、28周及39周检测母亲血小板数量,56例胎儿于分娩后取胎儿脐静脉血检测血小板数量.结果 6例血小板≤50×10^9/L且经阴道分娩新生儿有3例（33.3%）发生颅内出血,2例血小板＜10×10^9/L且经阴道分娩新生儿均发生颅内出血.结论胎儿血小板低于50×10^9/L者应选择剖宫产.
Objective To investigate the influence of idiopathic thrombocytopenic purpura （ITP）of pregnant women on the platelets of fetus and neonates. Methods A total of 56 cases of pregnancy with ITP were treated in our hospital between June 2001 and August 2012;The platelets in the ear blood of 56 cases of pregnancy were detected at the sixteeth weeks,twenty-eighth week, thirty-ninth week and the platelets in the umbilical cord blood of 56 cases newborns were detected. Results Three cases newborns（33.3%） in 16 cases of vaginal delivery and PLT≤50×10^9/L occurred intracranial hemorrhage,2 cases newborns （100%） of vaginal delivery and PLT≤ 10×10^9/L occurred intracranial hemorrhage. Conclusion Cesarean section should be performed if PLT≤ 50×10^9/L.
出处
《中国现代医生》
2014年第7期135-137,共3页
China Modern Doctor
关键词
妊娠
ITP
阴道分娩
剖宫产
颅内出血
Pregnancy
ITP
Vaginal delivery
Cesarean section
Intracranial hemorrhage
