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目的探讨妊娠期输血合并血小板减少的病因和围生期的处理方法。方法回顾分析40例妊娠合并血小板减少患者的临床资料,使用糖皮质激素、免疫球蛋白及成分输血等治疗方法。结果40例血小板减少的病因为妊娠期特发性血小板减少18例,HELLP综合征6例、特发性血小板减少性紫根4例、再生障碍性贫血2例、脾功能亢进1例及不明病因9例。早产4例,阴道分娩8例,剖宫产28例。结论妊娠合并血小板减少处理的重点是治疗病因,加强监护,适时提升血小板数,防止分娩期出血。
Objective To investigate the etiology and perinatal treatment of transfusion combined with thrombocytopenia during pregnancy. Methods Retrospective analysis of 40 cases of pregnancy with thrombocytopenia in patients with clinical data, the use of glucocorticoid, immunoglobulin and blood transfusions and other treatment methods. Results The causes of thrombocytopenia in 40 patients were 18 cases of idiopathic thrombocytopenia in pregnancy, 6 cases of HELLP syndrome, 4 cases of idiopathic thrombocytopenic purpura, 2 cases of aplastic anemia, 1 case of hypersplenism and 9 cases of unknown cause example. 4 cases of premature delivery, vaginal delivery in 8 cases, 28 cases of cesarean section. Conclusion The focus of treatment of thrombocytopenia during pregnancy is to treat the etiology, strengthen supervision, timely increase the number of platelets and prevent the bleeding during labor.