166例妊娠期血液病临床分析

Clinical analysis on 166 cases with gestational hemopathy

目的:探讨妊娠期合并血液病对母儿的影响及处理原则。方法:对166例妊娠合并血液病患者分娩经历、对胎儿生长发育的影响和处理原则进行观察分析。结果:妊娠合并血液病的发病率近年呈增高趋势。妊娠合并血液病可增加妊高征、分娩出血、感染、流产的发生率并引起胎儿宫内发育迟缓、胎儿宫内窘迫。成分输血,适时选择恰当的分娩方式终止妊娠有利于母、儿的安全。结论:加强监护,选择恰当的分娩方式,适时提升血小板和血红蛋白可减少分娩期出血,降低母、儿围生期死亡率。

Objective:To explore the affect of gestational hemopathy on mother and infant and its management principles.Methods:Puerperal experience,growth and developmert of fetus of 166 women with gestational hemopathy and its management principles were observed and analyzed.Results:The morbidity of hematopathy in pregnancy presented an elevating trend recently.The incidences of hypertensive states of pregnancy, puerperal hemorrhage, infection increased markedly in pregnant women with hematopathy,and hematopathy could induce intrauterine growth retardation and fatal distress. Component transfusion and terminating gestation timely in correct way were good for mother and newborns.Conclusion:Monitoring,delivering in correct way and timely increasing amount of blood platelet and haemoglobin could prevent postpartum hemorrhage and reduce mortality of mother and newborn in perinatal phase.