妊娠合并血小板减少78例临床分析  

Clinical analysis of 78 cases with gestation thrombocytopenia

作　　者：张霞[1] 

机构地区：[1]山东省济宁市第一人民医院妇产科,272100

出　　处：《中国临床实用医学》2009年第1期62-63,共2页China Clinical Practical Medicine

摘　　要：目的探讨妊娠合并血小板减少的临床特点及围生期处理。方法对1997-2007年共78例妊娠合并血小板减少的患者进行回顾性分析。结果妊娠合并血小板减少中，33．3％为妊娠相关性血小板减少（PAT），12．8％为妊娠高血压疾病，23％为ITP。PAT不需特殊处理，妊娠高血压疾病以输血小板为主，ITP组以皮质激素及免疫球蛋白为主，全部病例无产妇死亡及新生儿血小板减少。结论妊娠期血小板减少原因很多，应依据不同病情进行不同处理。Objective To study the clinical characteristic and management of thrombocytopenia during pregnancy. Methods To Analysis 78 cases of gestation thrombocytopenia in the first people＇ s hospital of Jining from 1997 to 2007. Results Of them,33.3% were pregnancy associative thrombocytopenia（ PAT）, 12. 8% were gravity hypertention, 23% were idiopathic thrombocytopenia （ITP）. No special treatment was to PAT, Pletlet transfusion was the first choice for gravity hypertension. Prednison and intravenous immunoglobulin were primary treatments. In all, no maternal death or neonatal terombocytopenia was occurred. Conclusion The treatment should be diffent for diffent causes of gestational thrombocytopenia.

关 键 词：妊娠 血小板减少 预后 

分 类 号：R714[医药卫生—妇产科学]