中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
30期
48-49
,共2页
黄琨%曹静%张秋蓉%徐敏
黃琨%曹靜%張鞦蓉%徐敏
황곤%조정%장추용%서민
妊娠合并血小板减少%临床表现%致病因素%分娩方式
妊娠閤併血小闆減少%臨床錶現%緻病因素%分娩方式
임신합병혈소판감소%림상표현%치병인소%분면방식
Pregnancy complicated with thrombocytopenia%Clinical manifestations%Pathogenic factors%Delivery mode
目的:探讨妊娠合并血小板减少的临床表现、致病因素和分娩方式。方法:收治妊娠合并血小板减少患者79例,回顾性分析其临床资料。结果:PAT与再生障碍性贫血患者的血小板水平在分娩后出现显著减少。9例患者采用自然分娩,分娩前PLT>50×109/L 7例;55例患者采用了剖宫产,血小板水平下降至(50~100)×109/L 24例,剖宫产分娩16例;血小板水平下降至(20~50)×109/L 26例,剖宫产分娩24例;血小板水平下降至20×109/L 19例,剖宫产分娩18例。结论:PAT是导致妊娠合并血小板减少的主要原因,但其危害性较小,而ITP引起血小板减少伴有极大的危害性。在分娩方式的选择上,根据母体的血小板指数,一旦<50×109/L时,以剖宫产的分娩方式为主。在母体的血小板指数>50×109/L时,可考虑自然分娩。
目的:探討妊娠閤併血小闆減少的臨床錶現、緻病因素和分娩方式。方法:收治妊娠閤併血小闆減少患者79例,迴顧性分析其臨床資料。結果:PAT與再生障礙性貧血患者的血小闆水平在分娩後齣現顯著減少。9例患者採用自然分娩,分娩前PLT>50×109/L 7例;55例患者採用瞭剖宮產,血小闆水平下降至(50~100)×109/L 24例,剖宮產分娩16例;血小闆水平下降至(20~50)×109/L 26例,剖宮產分娩24例;血小闆水平下降至20×109/L 19例,剖宮產分娩18例。結論:PAT是導緻妊娠閤併血小闆減少的主要原因,但其危害性較小,而ITP引起血小闆減少伴有極大的危害性。在分娩方式的選擇上,根據母體的血小闆指數,一旦<50×109/L時,以剖宮產的分娩方式為主。在母體的血小闆指數>50×109/L時,可攷慮自然分娩。
목적:탐토임신합병혈소판감소적림상표현、치병인소화분면방식。방법:수치임신합병혈소판감소환자79례,회고성분석기림상자료。결과:PAT여재생장애성빈혈환자적혈소판수평재분면후출현현저감소。9례환자채용자연분면,분면전PLT>50×109/L 7례;55례환자채용료부궁산,혈소판수평하강지(50~100)×109/L 24례,부궁산분면16례;혈소판수평하강지(20~50)×109/L 26례,부궁산분면24례;혈소판수평하강지20×109/L 19례,부궁산분면18례。결론:PAT시도치임신합병혈소판감소적주요원인,단기위해성교소,이ITP인기혈소판감소반유겁대적위해성。재분면방식적선택상,근거모체적혈소판지수,일단<50×109/L시,이부궁산적분면방식위주。재모체적혈소판지수>50×109/L시,가고필자연분면。
Objective:To investigate the clinical manifestations,pathogenic factors and delivery mode of pregnancy complicated with thrombocytopenia.Methods:79 patients with pregnancy complicated with thrombocytopenia were selected,and the clinical data were retrospectively analyzed.Results:After delivery,the levels of platelets in patients with PAT and aplastic anemia were significantly decreased.9 patients were treated with natural labor,before delivery,PLT more than 50×109/L was in 7 cases.55 patients were treated with cesarean section,and the level of platelet was decreased to (50~100)×109/L in 24 cases,and 16 cases had cesarean section.The levels of blood platelets were decreased to (20~50)×109/L in 26 cases,24 cases had cesarean section. The level of blood platelet was decreased to 20×109/L in 19 cases,18 cases had cesarean section.Conclusion:PAT was the main reason for the decrease of pregnancy combined with thrombocytopenia,but it was less harmful,and ITP induced thrombocytopenia was a great harm.On the choice of delivery mode,according to the maternal platelet index,once it was below 50×109/L,cesarean section was the main mode of delivery.When the platelet index was higher than 50×109/L,the natural labor can be considered.