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妊娠合并DIC、妊高症、血小板减少症及在肝素或阿斯匹林治疗期间会导致凝血功能异常,因此麻醉前检查和化验如血小板计数,出血时间对麻醉选择很重要。妊娠合并DHC病情危重,治疗是综合性的。对于妊高症目前认为小剂量阿斯匹林预防性治疗可降低其发病率。在肝素治疗期间行硬膜外麻醉,发生血肿危险性较大,而预防性肝素治疗时如PTT正常,不会增加麻醉的危险性。阿斯匹林服用与麻醉关系尚不清楚,但需注意出血时间是否延长。
Pregnancy complicated with DIC, pregnancy-induced hypertension, thrombocytopenia and coagulation disorders during heparin or aspirin therapy leads to preanesthesia testing and laboratory tests such as platelet count and bleeding time important for anesthesia selection. Pregnancy with DHC critically ill, the treatment is comprehensive. For the treatment of pregnancy-induced hypertension, prophylaxis with low-dose aspirin is currently considered to reduce its morbidity. Epidural anesthesia during heparin therapy is associated with a greater risk of hematoma, whereas prophylactic heparin therapy with normal PTT does not increase the risk of anesthesia. The relationship between taking aspirin and anesthesia is unclear, but care should be taken to see if bleeding is prolonged.