妊娠晚期合并特发性血小板减少性紫癜46例临床分析  

Clinical analysis on 46 cases of late pregnancy with idiopathic thrombocytopenic purpura

作　　者：杨志海[1] 张平[1] 

机构地区：[1]大连医科大学附属第一医院妇产科,辽宁大连116011

出　　处：《现代医药卫生》2007年第9期1287-1288,共2页Journal of Modern Medicine & Health

摘　　要：目的:探讨妊娠合并特发性血小板减少性紫癜(idiopathic thromboeytopenic purpura,ITP)的围生期治疗效果及母婴结局。方法:对46例晚期妊娠合并ITP患者进行回顾性分析。按血小板水平分为A组(PLT50～100×109/L)和B组(PLT<50×109/L),观察比较两组的临床症状、分娩情况及围生儿结局。结果:B组的症状及剖宫产率明显高于A组,但两组产后出血及围生儿的结局差异无显著性。结论:重视晚期妊娠合并ITP分娩前的综合治疗,适当放宽剖宫产指征是保证重症ITP母婴安全的关键措施。Objective：To investigate the diagnosis,prenatal treatment and prognosis of pregnancy with idiopathic thrombocytopenic purpura （ITP）.nethods ：46 women of late pregnancy with ITP were analyzed retrospectively. There were two groups,one was group A（PLT 50～100×10^9/L ）,the other was group B （PLT〈50×10^9/L）, The clinical presentations and pregnant outcomes were analyzed. Results：The clinical presentations in group B were significantly sereve than those in gorup A. The cesarean section rate in group B was significantly higher than that in gorup A. No significant difference was found between the two groups in Postpartum hemorrhage rate and outcome of infants.Conclusion：It is important management to ensure infants and mothers safety for wowen of late pregnancy with ITP that the general therapy is used in antepartum and that the indication of cesarean section can be used extandly.

关 键 词：晚期妊娠 特发性血小板减少性紫癜 

分 类 号：R71[医药卫生—妇产科学]