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妊娠合并中重度血小板减少的围产期处理

Perinatal management for pregnancies complicated by moderate to severe thrombocytopenia

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目的:探讨妊娠合并中重度血小板减少患者的产科并发症、治疗和临床预后。方法:回顾性研究375例合并中重度血小板减少的孕妇临床资料。结果:妊娠合并血小板减少的主要原因为妊娠期血小板减少、先兆子痫、免疫性血小板减少性紫癜和妊娠胆淤。中重度血小板减少常有严重的原发疾病,这些原发疾病可增加产科并发症,尤其是先兆子痫、HELLP 综合征和其它妊娠中的少见合并症。结论:妊娠合并中重度血小板减少的治疗主要依据患者的孕周、血小板计数和引起血小板减少的原发疾病。
Objective:The objective was to investigate obstetric complications, managements and outcomes of pregnancies complicated by moderate to severe thrombocytopenia. Methods:A retrospective case-control study comparing 375 pregnant women with moderate to severe thrombocytopenia (platelet count below 100×109/L) with 375 pregnant women without thrombocytopenia, who delivered between December 2007 to December2013. Rrsults: The main causes of thrombocytopenia were gestational thrombocytopenia, preeclampsia , immune thrombocytopenic purpura, and intrahepatic cholestasis. Moderate to severe maternal thrombocytopenia points to a higher degree of severity of the primary disease, which increases perinatal complications . Special at ention should be given to patients with thrombocytopenia due to preeclampsia, HELLP syndrome, and rarer causes during pregnancy. Conclusions: The management for pregnancies complicated by moderate to severe thrombocytopenia mainly according to gestational weeks and platelet count and primary disease .

thrombocytopenia in pregnancyperinatal managementclinical prognosis

刘芳、符伟

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四川省达州市中心医院妇产科 四川 达州 635000

妊娠血小板减少 围产期处理 临床预后

2013

中国保健营养(中旬刊)
全国卫生产业企业管理协会

中国保健营养(中旬刊)

ISSN:1004-7484
年,卷(期):2013.(6)
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