妊娠合并特发性血小板减少性紫癜7例临床分析

Clinical analysis of idiopathic thrombocytopenic purpura with pregnancy

目的 :探讨特发性血小板减少性紫癜 (ITP)合并妊娠的围产期处理方法。方法 :回顾性分析我院 1999年— 2 0 0 1年间 7例ITP合并妊娠的临床处理经验。结果 :7例ITP合并妊娠患者中 3例经阴道分娩、3例行剖宫产术 ,均无产后出血、产褥感染及手术、麻醉并发症。新生儿无 1例有出血倾向及颅内出血。结论 :ITP合并妊娠时如无产科指征以阴道分娩为宜 ,血小板极低的情况下可以在血源充足时行选择性剖宫产术。

Objective: To study the optimal clinical management of pregnancy with idiopathic thrombocytopenic purpura (ITP). Method:The management of 7 pregnancies with ITP from 1999 to 2001 were analysed retrospectively. Result:There are seven cases of pregnancies with ITP, three of them finished by vaginal delivery, another three by cesaerean section. None of them suffer from postpartum hemorrhage?puerperal infection?surgical or anesthetic complication. None of the newborns suffer from cerebral hemorrhage and hemorrhage tendency. Conclusion: Without obstetrical complications, we suggest ITP mothers be delivered vaginally. Selected cesarean delivery should be performed in severe thrombocytopenic cases when there are sufficient fresh blood and platelet.We must reinforce obstetrical surveillance and management of pregnancy with ITP.