妊娠并血小板减少硬膜外麻醉下剖宫产的安全观察

Epidural Anesthesia Used in C-section of Pregnant Women With Thrombopenia

目的探讨妊娠并血小板减少(PAT)患者行剖宫产术硬膜外麻醉的血小板计数的安全范围。方法分析2008-06/2010-06宜宾市第二人民医院对98例妊娠并血小板减少[PLT(35-80]×109/L)患者行剖宫产术硬膜外麻醉后的下肢运动、肌力、感觉恢复情况及术中出血量,并与同期98例妊娠期血小板正常患者做同项目对比,探讨妊娠并血小板减少患者行剖宫产术硬膜外麻醉外血小板的安全范围。结果 PAT患者[PLT(35-50)×109/L]患者行硬膜外麻醉后双下肢运动、肌力、感觉恢复正常,出血量与PLT值正常的剖宫产手术者差异无统计学意义。结论妊娠并血小板减少患者PLT>35×109/L硬膜外麻醉是安全的。

Objective To discuss the safe range of blood platelets count when epidural anesthesia is used in C-section of pregnant women with thrombopenia.Methods The analysis was conducted on lower limbs movement,muscle strength,sense recoveries and blood loss after epidural anesthesia for C-section in 98 pregnancy associated thrombopenia（PAT）patients [PLT（35-80）×10^9/L）] from June 2008 to June 2010,and the results were compared with 98 pregnant women with normal blood platelet count during the same period.Results The recoveries of limbs movement,muscle strength,sense were normal in PAT patients [PLT（35-50×10^9/L）] receiving epidural anesthesia,and the difference on blood loss between PAT patients and pregnant women with normal blood platelet count after c-section was not significant.Conclusion When blood platelet count is35×10^9/L,it is safe to perform epidural anesthesia for pregnant women with thrombopenia