妊娠合并再生障碍性贫血26例临床分析

Clinical Analysis of Pregnancy with Aplastic Anemia 26 Cases

目的 探讨妊娠合并再生障碍性贫血 (再障 )的正确处理方法。方法 回顾性分析 2 6例妊娠合并再障的临床资料。结果 妊娠前已患再障者 2 3例 ,其中 1 3例孕期有症状。 7例合并重度妊高征 ,8例有低蛋白血症 ,2例合并脑出血。 1 9例 (73.3% )剖宫产分娩 ,7例阴道分娩。 2 6例中无产褥感染 ,无产后大出血 ,无产妇死亡。除 1例与再障无直接关系的新生儿死亡外 ,余 2 5例均获活婴。结论 再障病人是能够耐受妊娠与分娩的 ,但需加强其孕期、产时及产后监护以早期发现及治疗并发症。

Objective To investigate the correct treatment of pregnancy with aplastic anemia. Methods The clinic data of pregnancy with aplastic anemia 26 cases were analyzed retrospectively. Results 23 cases suffered from aplastic anemia before gestation, and 13 cases suffered during gestation. 7 cases were with severe pregnancy-induced hypertension syndrome, 8 cases with hypoproteinemia, and 2 cases with cerebral hemorrhage. 19 cases delivered by cesarean section(73.3%) and 7 cases by vagina. There were no puerperal infection, postpartum hemorrhage, and dead pregnant women among 26 cases. Only 1 infant was dead from disease without direct relationship with aplastic anemia and other 25 infants were all survival. Conclusion Women with aplastic anemia can endure pregnancy and delivery. But enhanced check-ups during gestation, before delivery and after delivery should be taken for early detecting and treating with complications. Delivery by vagina is not excessively necessary.