妊娠合并重度血小板减少  

Serious thrombocytopenia during pregnancy

作　　者：张晓红[1] 张超[1] Zhang Xiaohong Zhang Chao

机构地区：[1]北京大学人民医院妇产科,100044

出　　处：《中华产科急救电子杂志》2017年第2期83-86,共4页Chinese Journal of Obstetric Emergency（Electronic Edition）

摘　　要：妊娠期间发生重度血小板减少有多种病因,根据不同的病因需要不同的监测与处理。特发性血小板减少性紫癜、再生障碍性贫血、骨髓增生异常综合征、急性白血病和系统性红斑狼疮是引起孕期血小板重度减少常见的内科疾病原因。妊娠期间特发的HELLP综合征、血栓性血小板减少性紫癜、产后溶血性尿毒症等也可以导致严重的血小板减少。本文就妊娠期血小板减少分度、孕期监测及围分娩期处理进行讨论。The etiology of serious thrombocytopenia during pregnancy is various. The evaluation and management should base on the etiology of thrombocytopenia. The common internal medical causes of severe thrombocytopenia during pregnancy include idiopathic thrombocytopenic purpura,acute leukemia,aplastic anemia, myelodysplastic syndromes, and systemic lupus erythematosus. During pregnancy,HELLP syndrome,thrombotic thrombocytopenic purpura and postpartum hemolytic uremic also can induce the severe thrombocytopenia. This article discusses classification, evaluation and management of thrombocytopenia in pregnancy.

关 键 词：血小板减少 妊娠 高危 疾病管理 

分 类 号：R714.254[医药卫生—妇产科学]