CAJ | 학술논문

目的探讨妊娠期血小板减少的原因及临床处理对策.方法回顾性分析2008年1月~2010年12月55例妊娠合并血小板减少患者的临床资料.结果妊娠合并血小板减少的患者占同期分娩产妇的1.10%.妊娠期特发性血小板减少症(PAT)25例,原发性免疫性血小板减少症(ITP)13例,骨髓增生异常综合征(MDS)6例,营养性巨幼细胞性贫血(NMA)4例,子痫前期、HELLP综合症2例,系统性红斑狼疮(SLE)1例,不明原因4例.55例全部病例中孕产妇死亡1例,产妇颅内出血1例,新生儿血小板减少3例,新生儿死亡2例.结论妊娠期血小板减少原因较多,临床应根据不同病情进行不同的处理.
목적탐토임신기혈소판감소적원인급림상처리대책.방법회고성분석2008년1월~2010년12월55례임신합병혈소판감소환자적림상자료.결과임신합병혈소판감소적환자점동기분면산부적1.10%.임신기특발성혈소판감소증(PAT)25례,원발성면역성혈소판감소증(ITP)13례,골수증생이상종합정(MDS)6례,영양성거유세포성빈혈(NMA)4례,자간전기、HELLP종합증2례,계통성홍반랑창(SLE)1례,불명원인4례.55례전부병례중잉산부사망1례,산부로내출혈1례,신생인혈소판감소3례,신생인사망2례.결론임신기혈소판감소원인교다,림상응근거불동병정진행불동적처리.
Objective To investigate the cause and management of pregnant women with thrombocytopenia. Methods The outcome of 55 pregnant with thrombocytopenia was analysed respectively from 2008.1 to 2010.12.Results The rate of thrombocytopenia during pregnant was 1.10%.Among all of cases,25 cases were gestational thrombocytopenia,13 cases were idiopathic thrombocytopenia,6 cases were myelodysplastic syndromes,4 cases were megaloblastic anemia,2 cases were preedampsia,HELLP syndrome,1 case was systemic lupus erythematosus,4 cases were unexplanined.1 case maternal death,1 case pregnant occurred intracranial hemorrhage,thrombocytopenia occurred in three natals.2 cases newborn mortality.Conclusion Pregnant thrombocytopenia are numerical.We should choose the management according to the differed causes.