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目的探讨妊娠合并血小板减少的病因及围生期处理。方法回顾性分析我院2001～2004年间66例妊娠合并血小板减少患者的临床资料。结果妊娠期血小板减少的主要病因是妊娠期血小板减少症(PAT),妊娠期高血压病和特发性血小板减少性紫癜(ITP)。治疗方法为在治疗原发病基础上,对血小板计数<50×109/L者于分娩前使用糖皮质激素及血小板制剂。全部病例无孕产妇死亡,少数新生儿血小板减少。结论妊娠期血小板减少原因较多,应针对不同病情不同处理。
Objective To investigate the etiology and perinatal treatment of thrombocytopenia during pregnancy. Methods The clinical data of 66 pregnant women with thrombocytopenia in our hospital from 2001 to 2004 were retrospectively analyzed. Results The major causes of thrombocytopenia in pregnancy were gestational gemcitabine (PAT), gestational hypertension and idiopathic thrombocytopenic purpura (ITP). Treatment is based on the treatment of primary disease, the platelet count <50 × 109 / L before delivery of glucocorticoid and platelet preparations. All cases without maternal death, a small number of neonatal thrombocytopenia. Conclusion There are many reasons for thrombocytopenia in pregnancy, and should be treated differently for different conditions.