四川医学2009，Vol.30Issue(7)：1030-1032,3.
妊娠合并血小板减少89例临床分析
Clinical analysis of 89 thrombocytopenia in pregnancy
王洪英 1齐小雪 1王跃莲1
作者信息
- 1. 成都市第一人民医院妇产科,四川,成都,610041
- 折叠
摘要
Abstract
Objective To explore the causes,therapy and the way of delive of pregnant women with thromboeytopenia. Methods The data of 89 cases with thrombocytopenia during pregnancy were reviewed from Jan. 2006 to Mar. 2009. Results The main cause of thrombocytopenia during pregnancy were pregnancy associated thrombocytopenia (PAT) has 65 cases (73.03%), Hypertensive disorder complicating pregnancy(HDCP) has 11 cases(12.36%). Idiopathic thromboeytopenia(ITP) has 6 cases(6.74%). Hepatic disease in pregnancy has 5 cases (5.61% ,Systemic lupus erythematosus in pregnancy has 2cases (2.24%). Pregnancy associated thrombocytopenia need not to be specially treated during pregnancy, To the 12 patients whose platelet <50×109/L given dexamethasone 10～20mg/d treatment before delivery ,But five patients who has no effect intravenous platelet treatment during delivery. Conclusion Pregnancy associated thrombocytopenia is the common reason in thrombocytope-nia during pregnancy, Pregnancy associated thrombocytopenia need not to be specially treated during pregnancy. The second rea-son is hypertensive disorder complicating pregnancy, when their plateht is less than 50×109/L are injected with dexamethasone 10～20mg/d treatment before delivery, Intravenous drip for 3～5 days, if the treatment is not effective,The patients should ac-cept being injected with platelet and being abdominal delivery. The rate of postpartum hemorrhage is 12.35%.关键词
妊娠/血小板减少Key words
pregnancy/thromboeytopenia分类
医药卫生引用本文复制引用
王洪英,齐小雪,王跃莲..妊娠合并血小板减少89例临床分析[J].四川医学,2009,30(7):1030-1032,3.
