妊娠期特发性血小板减少20例临床分析  

Clinical analysis of idiopathic thrombocytopenia purpura of gestation in 20 cases.

作　　者：李忠祥[1] 卢丽萍[1] 侯明滨[1] 于恩燕[1] 郭兆君[1] 

机构地区：[1]山东潍坊市妇幼保健院,261011

出　　处：《中国优生与遗传杂志》2007年第8期69-69,86,共2页Chinese Journal of Birth Health & Heredity

摘　　要：目的 探讨妊娠期特发性血小板减少的产科处理,降低对母婴的损害.方法 回顾性分析我院于1998年6月～2006年10月以来收治的20例妊娠期特发性血小板减少患者的诊断治疗及新生儿情况.结果 特发性血小板减少患者除血小板计数异常低下、有出血倾向及凝血机制异常外产后出血量并没有明显增多.结论 血小板＜50×109/L,应用糖皮质激素治疗,有出血倾向或凝血机制异常给与血小板治疗,剖宫产终止妊娠为宜.血小板计数＞50×109/L,无出血倾向、凝血机制正常者可不予输注血小板治疗,无产科因素,可经阴试产.Objective： To explore the obstetric disposal of gestation idiopathic thrombocytopenia purpura, reduce the damage to the mother and the infant, Methods ： The diagnosis and treatment of 20 gestation idiopathic thrombocytopenia purpura patients and the coditions of new - born admitted to our hospital from june 1998 to october 2006 were analysed retrospectively. Results.. Thought the haematoblast number was low particularly, the cruor mechanism was exceptional or they have haemorrhage tendency in idiopathic thrombocytopenia purpura, the haemorrhage after giving birth to doesn＇t increase obviously. Conclusion： Treat the patients whose haematoblast number is under 50 x 109/L with glucocorticoid whose cruor mechanism is exceptional or who has haemorrhage tendency with haematoblast, caesarean birth end the pregnancy. If the patients＇ haematoblast number is hyper 50 x 109/L, the haemorrhage tendency and the exceptional cruor mechanism isn＇t exist, the haematoblast is not need. Also, if there isn＇t obstetric complication, the lying- woman can trial -produce through vigina.

关 键 词：妊娠 血小板减少 分娩 

分 类 号：R714.254[医药卫生—妇产科学]