妊娠期合并贫血的临床分析

Clinical analysis of gestation complicated anemia

目的:探讨妊娠期合并贫血的病因、对母儿影响及处理。方法:本文通过对90例妊娠合并贫血患者的贫血原因,贫血程度的统计,对贫血孕妇妊娠过程及并发症发生,胎儿生长发育的情况进行分析。结果:妊娠期合并贫血的病因中,血液系统疾病占一定比例;妊娠合并贫血程度多为轻、中度,重度贫血较少,血液系统疾病引起的贫血多为中、重度;妊娠合并贫血患者,血小板减少多因血液系统疾病引起,减低程度多为中、重度减低;妊娠期合并贫血、合并血液系统疾病和血小板减少可增加对母儿的不良影响。结论:加强产前检查,早诊断、早治疗,选择恰当的分娩方式,降低围产期病死率。

Objective To explore the etiopathogenisis, influencing on mother and infant, and treatment of gestination complicated anemia. Method Gestation process and complications, growth and development of fetus were analyzed by statistics of anemia causes and degree of 90 cases with gestation complicated animia. Results Hematological system diseases accounted for a certain proportion in the causes of gestation complicated anemia and gestational hemopathy can be caused by many kinds of hematopathy. The degree of gestation complicated anemia was mild or middling usually, severe anemia was less. Thrombocytopenia was more caused by hematopathy, and middle or sever degree was more. Gestation complicated anemia, hematological system disease and thrombocytopenia could increase the harmful effects on mother and fetus. Conclusion We should enhance the antenatal examination, in order to get early diagnosis and treatment, select the correct delivery method to reduce the mortality in pefinatal phase.