妊娠合并血小板减少的病因及治疗_高占军.pdfVIP

2007 15 7 # 55# , (青岛大学医学院附属医院妇产科, 266003) : 目的 探讨妊娠合并血小板减少的病因及围生期处 方法 回顾性分析青岛大学医学院附属医院 1995年至 2005年间 106例妊娠合并血小板减少患者的病因及临床处 方法结果 106例患者中妊娠相关性血小板减少 ( PAT ) 40 例 ( 371 74% ), 子痫前期 25例 ( 231 58% ), 特发性血小板减少性紫癜 ( ITP) 13例 ( 12126% ) 血小板减少出现最早孕 + 3 周为 20 周, 28周出现 25例 ( 23158% ), 28周出现 81例 ( 76142% ) 阴道分娩 25例, 剖宫产 81例产后出血 13 9 例 ( 121 26% ) 结论 妊娠合并血小板减少有多种病因, 以妊娠相关性血小板减少最多见, 对血小板 50 @ 10 L 或有明 显出血倾向者, 用糖皮质激素或 (和 ) 免疫球蛋白治疗; 分娩前后使用血小板制剂, 预防产时或产后出血PAT 一般不作 特殊处 : 妊娠; 血小板减少; 围生期处 : R7141 25 : B : 1006- 9534 ( 2007) 07- 0055- 03 C lni ica l ana lys is o f 106 throm bocytopen ia w ith p regnancy. GAO Zhan - jun, JI X in - q iang. (The Aff iliated M edical Col- legeH os ital of Q ingdao University 266003) Abst ract: Obje tive: T o study the pathogenesis and the op tmi alm anagem ent of pregnan y w ith thrombo ytopenia. M ethod: 106 ases w ith thrombo ytopenia in the affiliated hospital of Q ingdaoUn iversity about 10 years from 1995 to 2005 w ere reviewed. Results: Among the 106 ases, the in iden e of pregnan y asso iated throm bo ytopen ia ( PAT ), pregnan y indu ed hypertens ion, idiopath i thrombo ytopeni purpu ra ( ITP) w ere 37174% , 231 58% , 121 26% . Thrombo ytopeniaw as identified initially at 20+ 3 w eeks of ges- tation, 25 ( 23158% ) ases w ere found before 28 w eeks, 81 ( 76142% ) ases w ere found after 28 weeks. vaginal delivery and e- sarean se tion w ere perform ed in 25 and 81 ases, respe tively . The o urren e of postpartum hem orrhagew as 12126% . Con lusion: Thrombo ytopen ia in the pregnant patients may result from a num