妊娠合并白血病致晚期产后出血误诊原因分析  

MISDIAGNOSIS REASON ANALYSIS OF LATE POSTPARTUM HEMORRHAGE INDUCED BY PREGNANCY COMPLICATED LEUKECYTHEMIA

作　　者：王保平[1] 尹春艳[1] 胡玉凤[1] 陈伟[1] 

机构地区：[1]广东省第二人民医院,广东广州510317

出　　处：《现代医院》2009年第9期41-42,共2页Modern Hospitals

摘　　要：目的总结妊娠合并白血病致晚期产后出血的误诊原因。方法对妊娠合并白血病的临床资料进行回顾性分析。结果①妊娠合并白血病是产科少见的内科合并症,产后出血及产褥感染是白血病患者产时、产后常见的并发症;②产科医师要重视血常规及外周血涂片检查,及时查明引起产后出血的原因。结论①临床症状不典型、外周血常规及凝血像检查的非特异性是导致误诊的重要原因。②以产后出血为主要临床表现的首诊症状导致产科医师寻找贫血原因的思维局限。③晚期产后出血量与贫血程度不符时需进一步查明贫血原因。Objective To summarize misdiagnosis reason of late postpartum hemorrhage that induced by pregnancy complicated leukecythemia. Methods Retrospective analysis clinical data of pregnancy complicated leukecythemia. Results ①Pragnancy complicate leukecythamia is few internal medicine complication of obstetrics;postpartum hemorrhage and puerperal infection are fre- quent complications of leukemia in intrapartum and postpartum, ②Obstetrician should reconstr blood routine and peripheral blood smear, ascertain the reason induced postpartum hemorrhage in time. Conclusion ①Atypical clinical symptoms and the inspection non -specificity of onventional and Coagulation phase are an impotent cause of misdiagnosis ,②As post -partum haemorrhage to the main clinical manifestations of the first symptoms ,which lead obstetric clinic physicians to find the thought limitation of the causes of anemia, ③Whan anaemia level and late postpartum hemorrhage blood volume are discrepancy,we must ascertain anaemia reason.

关 键 词：妊娠合并白血病 产后出血 误诊原因 

分 类 号：R714.461[医药卫生—妇产科学] R711[医药卫生—临床医学]