妊娠合并血小板减少64例临床分析

Clinical analysis of 64 cases of pregnancy with thrombocytopenia

目的探讨妊娠合并血小板减少的原因及围生期处理。方法对泰安市中心医院在2002年6月至2008年8月收治的64例妊娠合并血小板减少患者的临床资料进行回顾性分析。结果妊娠合并血小板减少的主要原因包括妊娠相关性血小板减少。PAT患者不需特殊治疗.术前血小板<30×109/L可输浓缩血小板。64例中39例经阴道分娩,25例剖宫产;产后出血6例,新生儿颅内出血1例。结论多种原因可引起妊娠期血小板减少,治疗上应视不同的病因、血小板减少的轻重程度而采取不同的处理方法。分娩方式取决于血小板水平及产科相关情况。

Objective：To study the etiology of thrombocytopenia with pregnancy and management during various labor states in the course of delivery.Methods： Clinical data of 64 hospitalized pregnantwomen with decreased blood platelets count（100×109/L） during June 2002 to August 2008 in Taian city centure Hospital were retrospectively reviewed.Results： The major etiology of thrombocytopenia with pregnancy is pregnancy-associated thrombocytopenia.Glucocorticoid was given to thosewith platelet count less than 50×109/L for a short time performed during orafterdelivery.Among the 64 cases,vaginaldelivery and cesarean sectionwere performed in 39 and 25 cases,respectively.Postpartum hemorrhage occurred in 6 cases and neonate intracranial hemorrhage in 1 cases.Conclusion： The various cause may lead thrombocytopenia with pregnancy.The different management is given in according to different etiology.The means of labor is decided the level of thrombocytopenia.