妊娠期输血合并血小板减少症40例临床分析  

Clinical analysis of 40 pregnant women with thrombocytopia

作　　者：徐学新[1] 韩海心[1] 余东[1] 

机构地区：[1]河南省南阳市中心医院输血科,473009

出　　处：《中国实用医药》2009年第36期27-28,共2页China Practical Medicine

摘　　要：目的探讨妊娠期输血合并血小板减少的病因和围生期的处理方法。方法回顾分析40例妊娠合并血小板减少患者的临床资料,使用糖皮质激素、免疫球蛋白及成分输血等治疗方法。结果40例血小板减少的病因为妊娠期特发性血小板减少18例,HELLP综合征6例、特发性血小板减少性紫根4例、再生障碍性贫血2例、脾功能亢进1例及不明病因9例。早产4例,阴道分娩8例,剖宫产28例。结论妊娠合并血小板减少处理的重点是治疗病因,加强监护,适时提升血小板数,防止分娩期出血。Objective To Investigate the cause and optimal management of pregnant women with thrombo cytopll.Methods The outcome of 40pregnancies with thrombocytopenla was analyzed respectively.Amount of blood platelet was increased by giving prednlsone,immuneglobulln and transfuslon.Results Cases of gregnancles with thrombocytopenlawere 18 gestltatlonal thrombocytopenla,6 HELLP syndrome,4 idlopathlc thrombocytopenla purpura（ITP）,1 aplastlc anemia and 9 hypersplenlsm.Among 40 pregnant women,premature delivery,vaglnal delivery and cesarean section were 4,8 and 28 cases respcetlvely.Conclusion The managing etlology,monitoring fetues,Increasing amount of blood platelet and preventing postpartum hemorrhage are important principle to get good outcome of pregnancy with thrombocytopenla.

关 键 词：妊娠 血小板减少 妊娠结局 

分 类 号：R714.25[医药卫生—妇产科学]