妊娠合并血小板减少105例临床分析

摘要

Objective To investigate the pregnancy with the pathogenesis of thrombocytopenia and perinatal treatment. Methods We take the clinical data of 105 pregnant women with thrombocytopenia for retrospective study. Results There were 55 cases of PAT, 19 cases of ITP, 37 cases of PIH, 3 cases of liver disease and 1 case of systemic lupus erythematosus. And there were 65 ca ses of cesarean section, accounting for 61. 9% and 40 cases of vaginal delivery, accounting for 38. 1%. Conclusion The pregnancy with thrombocytopenia generally occurs in late pregnancy, and PAT is the most common. An appropriate prenatal platelet level in crease could reduce the incidence of complications.%目的 探讨妊娠合并血小板减少症的发病机制及围生期处理方法.方法 对105例妊娠合并血小板减少患者的临床资料作回顾性研究.结果 出现妊娠相关性血小板减少症(PAT)55例,特发性血小板减少性紫癜(ITP)19例,妊娠期高血压疾病先兆子痫(PIH)37例,肝病3例,系统性红斑狼疮1例.其中剖宫产65例,占61.9%;阴道分娩40例,占38.1%.结论 PAT一般发生在妊娠晚期,以PAT最常见,产前适当提高血小板水平,可以减少并发症发生.