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本文回顾分析我院1962年以来11例妊娠合并再生障碍性贫血的临床资料,发病率为0.009％。这合并症对母儿均可带来重大威胁,对孕妇可致严重贫血,出血和感染。妊娠可能是再障的诱因之一,可使再障病情恶化。因而本病患者不宜受孕。若于孕中、晚期发现时,则需积极支持治疗以纠正一般健康情况,争取在适当的情况下选择适当的时机和分娩方式终止妊娠;必需严防产后出血和感染。本组除1例死于严重感染及药物过敏和1例转内科治疗外,余均母子平安出院。
This article retrospectively analyzed the clinical data of 11 cases of pregnancy complicated with aplastic anemia in our hospital from 1962, the incidence was 0.009%. This complication poses a significant threat to both mother and child and can cause severe anemia, bleeding and infection in pregnant women. Pregnancy may be one of the causes of aplastic anemia, can make aplastic anemia worsen. Therefore, patients should not be pregnant. If pregnant, late found, you need to actively support the treatment to correct the general health situation, in an appropriate situation for the right time to choose the mode of delivery and termination of pregnancy; must prevent postpartum hemorrhage and infection. In addition to a group of patients died of serious infection and drug allergy and 1 case transferred to medical treatment, the average mother and child were discharged safely.