妊娠合并再生障碍性贫血13例临床分析  

Clinical analysis of pregnancy with aplastic anemia 13 cases

作　　者：郝琦蓉[1] 

机构地区：[1]山西医科大学第二医院,山西太原030001

出　　处：《临床医药实践》2007年第7期581-582,共2页Proceeding of Clinical Medicine

摘　　要：目的:探讨妊娠合并再生障碍性贫血(再障)的正确处理方法。方法:回顾性分析13例妊娠合并再障的临床资料。结果:13例患者中妊娠前患病7例,妊娠后患病6例,妊娠后病情均加重。3例合并子痫前期重度或重度妊高征。1例自然分娩,7例择期剖宫产,其中1例因术中切口渗血行子宫全切术,全部病例无感染,无产妇、新生儿死亡。结论:妊娠合并再障患者在严密监护下能够耐受妊娠与分娩,但因合并妊娠期高血压、子痫前期的几率增加,更应严密观察支持对症治疗,分娩方式不过分强调阴道分娩,在充分准备基础上剖宫产相对可能更安全。Objective：To investigate the correct treatment of pregnancy with aplastic anemia. Methods ：The clinic data of pregnancy with aplastic anemia thirteen cases were analyzed restrospectively. Results Seven cases suffered from aplastic anemia before gestation and six cases suffered after gestation in thirteen cases. Three cases sufferd from hypertension syndrome during gestation. Seven cases delivered by cesarean section and one case by vagina. There were no puerperal infection,and dead pregnant womnen among thirteen cases. AIL infants were survival. Conclusion Women with aplastic anemia can endure pregnancy and delivery,but enhanced checked-up must bedone. Delivery by vagina is not excessively necessary.

关 键 词：再生障碍性贫血 妊娠 临床分析 

分 类 号：R556.5[医药卫生—血液循环系统疾病]