白血病与妊娠

Leukemia in Pregnancy

本文报告白血病合并妊娠33例.作者认为妊娠对白血病有利,终止妊娠不能改变其不良的预后.妊娠<16周而白血病尚属早期或病情稳定可暂不化疗;妊娠16周以后均应进行化疗;孕妇能存活至妊娠足月,大多数均可正常分娩,并得健康婴儿;妊娠30周以上.而母体病危可以剖腹取胎;慢性白血病一般均可继续妊娠,同时进行化疗.

Thirty-three patients with leukemia in pregnancy were studied. The results showed that pregnancy. seemted. ben of r(?) to leakemia: stopping pregnancy could not improve the prognosis of this disorder; most ot the patients, if they were surviving long enough were delivered of healthy babies. We suggest that it is necessary that the patients with leukemia in pregnancy were treatad with chemotherapy, especially after 4 months of pregnancy. If a living baby is wanted, cesarean section is considered when the period of pregnancy is beyond 30 weeks; and pregnancy is allowed for patienfs with chronic leukemia, at the same time, they must be given chemotherapy.