中华产科急救电子杂志
中華產科急救電子雜誌
중화산과급구전자잡지
Chinese Journal of Obstetric Emergency
2015年
1期
32-37
,共6页
妊娠并发症,血液%贫血,再生障碍性%诊断,鉴别%疾病管理
妊娠併髮癥,血液%貧血,再生障礙性%診斷,鑒彆%疾病管理
임신병발증,혈액%빈혈,재생장애성%진단,감별%질병관리
Pregnancy complications,hematologic%Anemia,Aplastic%Diagnosis,differential%Disease management
妊娠合并再生障碍性贫血是妊娠期一种严重的并发症，以贫血、出血及感染为主，病因包括药物因素、化学因素、感染和放射线照射等。治疗以对症支持治疗为主，可联合免疫抑制治疗、促造血治疗。患者经治疗好转后可以足月分娩，无剖宫产指征者可经阴道分娩，需剖宫产者则输注血小板预防出血。
妊娠閤併再生障礙性貧血是妊娠期一種嚴重的併髮癥，以貧血、齣血及感染為主，病因包括藥物因素、化學因素、感染和放射線照射等。治療以對癥支持治療為主，可聯閤免疫抑製治療、促造血治療。患者經治療好轉後可以足月分娩，無剖宮產指徵者可經陰道分娩，需剖宮產者則輸註血小闆預防齣血。
임신합병재생장애성빈혈시임신기일충엄중적병발증，이빈혈、출혈급감염위주，병인포괄약물인소、화학인소、감염화방사선조사등。치료이대증지지치료위주，가연합면역억제치료、촉조혈치료。환자경치료호전후가이족월분면，무부궁산지정자가경음도분면，수부궁산자칙수주혈소판예방출혈。
Pregnancy associated aplastic anaemia is a severe complication during pregnancy, characterized by anemia, bleeding and infection.It can be caused by exposure to drugs, chemicals, infection, radiation and so on.The symptomatic supportive treatment is the main therapy for the pregnancy with aplastic anemia, but it can combine the immunosuppressive therapy or hematopoietic treatment.After treatment, pregnant patients may be recovered and give birth at full-term.Without indications for cesarean section, the patients could choose vaginal delivery.If the patients have to have cesarean section, platelet transfusion is needed before operation to prevent hemorrhaging.
