摘要
目的 探讨妊娠合并血小板减少的病因及围生期处理方法。方法 总结 1994～ 2 0 0 3年间 98例妊娠合并血小板减少患者的临床资料。结果 妊娠合并血小板减少的主要原因包括妊娠相关性血小板减少症(PAT) ,特发性血小板减少性紫癜 (ITP)和妊娠期高血压疾病 (妊高征 )。治疗方法为在治疗原发病的基础上 ,对血小板计数 <5 0× 10 9/L者于分娩前后短期使用糖皮质激素及血小板制剂。 98例中阴道分娩 34例 ,剖宫产 6 4例 ;发生产后出血 12例 ,产后出血发生率为 12 2 % ;胎死宫内 3例。新生儿血小板减少 7例。结论 在针对病因治疗的基础上 ,糖皮质激素及血小板制剂是治疗严重妊娠合并血小板减少的有效手段。
Objective To investigate the causes and optimal management of thrombocytopenia in pregnancy.Methods A retrospective study of 98 cases of thrombocytopenia in pregnancy in our hospital during 1994-2003 was conducted.Results Thrombocytopenia in pregnancy was mainly caused by pregnancy-associated thrombocytopenia(PAT),idiopathic thrombocytopenic purpura (ITP) and hypertensive disorder complicating pregnancy.Glucocorticoid and platelet transfusion were given to those with platelet count less than 50×109/L for a short time on the basis of treatment for the primary diseases.Among the 98 cases,vaginal delivery and cesarean section were performed in 34 and 64 cases,respectively.The occurrence of postpartum hemorrhage was 12.2%.The fetal death was 3/7 neonates with thrombocytopenia.Conclusion Glucocorticoid and platelet transfusion are effective methods for severe thrombocytopenia in pregnancy,in addition to the treatment for the primary disease.
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
2004年第5期281-282,共2页
Chinese Journal of Practical Gynecology and Obstetrics
