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妊娠合并血小板减少的病因分析及治疗方法选择

乐怡平 徐宇尧 潘独伊 高程洁 蔡瑾 徐凡 林建华

现代妇产科进展Issue(7):493-497,5.
现代妇产科进展Issue(7):493-497,5.DOI:10.13283/j.cnki.xdfckjz.2015.07.005

妊娠合并血小板减少的病因分析及治疗方法选择

Etiology and treatment of thrombocytopenia in pregnancy

乐怡平 1徐宇尧 1潘独伊 1高程洁 1蔡瑾 1徐凡 1林建华1

作者信息

  • 1. 上海交通大学医学院附属仁济医院妇产科,上海 200127
  • 折叠

摘要

Abstract

Objective:To find the causes and treatment of thrombocytopenia in preg-nancy. Methods:An analytical retrospective observational study from 2006 to 2013 was conduc-ted in Department of Obstetrics & Gynecology in Renji hospital. 349 women presenting with thrombocytopenia were recorded. Results:The most common cause of thrombocytopenia during pregnancy was gestational thrombocytopenia ( GT ) , which was seen in 66 . 48%. 106 patients were accepted bone marrow biopsy with no side effect. 78 patients were received treatment,in-cluding corticosteroids or/and intravenous immunoglobulin ( IVIG ) . Platelet transfusions were also given to 132 patients. Mode of delivery was affected by thrombocytopenia. 254 patients had cesarean section, while 84 patients had vaginal delivery. Incidence of postpartum hemorrhage was 2. 66% among cases. Conclusions:The commonest cause of thrombocytopenia during preg-nancy was GT. Mode of management was affected by thrombocytopenia, including corticoste-roids,IVIG and platelet transfusions.

关键词

妊娠/血小板减少/病因/治疗

Key words

Pregnancy/Thrombocytopenia/Etiology/Treatment

分类

医药卫生

引用本文复制引用

乐怡平,徐宇尧,潘独伊,高程洁,蔡瑾,徐凡,林建华..妊娠合并血小板减少的病因分析及治疗方法选择[J].现代妇产科进展,2015,(7):493-497,5.

现代妇产科进展

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