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目的:探讨妊娠期巨幼红细胞性贫血的原因,对母儿的影响及治疗。方法:对我院1996年1月1日～1998年12月31日收治住院的2696例孕产妇进行回顾性分析。结果:巨幼细胞性贫血患者20例,发生率为074%,Hb<60g/L6例,<80g/L9例,<100g/L5例,并发妊高征5例,低蛋白血症6例,肾病综合征1例,胃溃疡出血2例,胎膜早破4例,双胎2例。共娩出新生儿22例,重度贫血致死胎1例,成活21例。结论:巨幼细胞性贫血常发生在妊娠后期,孕期加强营养,及时治疗可纠正贫血,减少并发症的发生
Objective: To investigate the causes of pregnancy megaloblastic anemia, the impact on the mother and children and treatment. Methods: A retrospective analysis was performed on 2696 pregnant women admitted to our hospital from January 1, 1996 to December 31, 1998. Results: Megaloblastic anemia in 20 patients, the incidence was 074%, Hb <60g / L in 6 cases, <80g / L in 9 cases, <100g / L in 5 cases, complicated by pregnancy induced hypertension in 5 cases, hypoproteinemia in 6 cases, Nephrotic syndrome in 1 case, gastric ulcer bleeding in 2 cases, premature rupture of membranes in 4 cases, twins in 2 cases. A total of 22 newborns were delivered, 1 died of severe anemia and 21 survived. CONCLUSION: Megaloblastic anemia often occurs in the later stage of pregnancy. During pregnancy, nutrition is strengthened, and timely treatment can correct anemia and reduce the incidence of complications