CAJ | 학술논문

目的:探讨妊娠合并血小板减少的原因及围生期处理方法.方法:回顾性分析2006年9月-2012年10月产科分娩的50例妊娠合并血小板减少患者临床资料.结果:妊娠合并血小板减少的主要原因有:妊娠期血小板减少症(GT)16例(32.00%)、自身免疫性血小板减少(AITP)6例(12.00%)、微血管病血小板减少包括妊娠期高血压疾病(PIH)12例(24.00%)及HELLP综合征8例(16.00%);AFLP 8例(16.00%).阴道分娩21例,剖宫产29例;产后出血12例.结论:多种原因可以导致妊娠妇女血小板减少,GT最常见.治疗采用在针对病因治疗的基础上给予糖皮质激素、丙种球蛋白、输血小板等综合治疗.分娩方式视有无产科指征而定.
목적:탐토임신합병혈소판감소적원인급위생기처리방법.방법:회고성분석2006년9월-2012년10월산과분면적50례임신합병혈소판감소환자림상자료.결과:임신합병혈소판감소적주요원인유:임신기혈소판감소증(GT)16례(32.00%)、자신면역성혈소판감소(AITP)6례(12.00%)、미혈관병혈소판감소포괄임신기고혈압질병(PIH)12례(24.00%)급HELLP종합정8례(16.00%);AFLP 8례(16.00%).음도분면21례,부궁산29례;산후출혈12례.결론:다충원인가이도치임신부녀혈소판감소,GT최상견.치료채용재침대병인치료적기출상급여당피질격소、병충구단백、수혈소판등종합치료.분면방식시유무산과지정이정.
@@@@Objective:To explore the etiopathogenesis and perinatal management in pregnant women complicated with thrombocytopenia.Methods:The clinical data of 50 pregnant women complicated with thrombocytopenia in our hospital from September 2006 to October 2012 were reviewed.Results:Thrombocytopenia was mainly caused by pregnancy-associated with gestational thrombocytopenia(GT) in 16 cases (32%),autoimmune thrombocytopenia(AITP) in 6 cases(12%), thrombotic microangiopathies thrombocytopenia including pregnancy induced hypertension(PIH) in 12 cases (24%),HELLP syndrome in 8 cases(16%),acute fatty liver of pregnancy in 8 cases(16%).Among the 50 pregnant women,21 cases chose vaginal delivery and 29 cases chose cesarean section.There were 12 cases with postpartum hemorrhage.Conclusion:The reasons caused thrombocytopenia during pregnancy are diverse.Pregnancy-associated with gestational thrombocytopenia is the most prevalent cause in pregnant women complicated with thrombocytopenia.On the basis of the treatment of the primary diseases,glucocorticoid, immunoglobulin and platelet transfusion are effective to treat the disease.The mode of delivery is decided by obstetrical indication.