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本文总结我院10年间妊娠合并白血病7例,其发生率为同期妊娠总数的18.8/10万,占同期白血病总数的0.78%,7例白血病中患性5例,慢性2例,急慢之比为2.5:1.文中着重讨论了白血病的孕期及产科处理,强调孕期应积极治疗白血病,母婴预后很大程度上与病情能否取得完全缓解有关.在病情稳定后,除患者迫切要求子女外,应及早终止妊娠,妊娠合并白血病不是剖宫产指征,产后应积极预防感染和出血,并及早化疗.
This article summarizes the 10 years of pregnancy in our hospital with leukemia in 7 cases, the incidence rate of 18.8 / 100 000 the same period the total number of pregnancies, accounting for 0.78% of the total leukemia over the same period, 7 cases of leukemia in 5 cases, 2 cases of chronic, 2.5: 1.This article focuses on the pregnancy and obstetric treatment of leukemia, emphasizing that active treatment of leukemia during pregnancy, maternal and child prognosis is largely related to the complete remission of the disease can be achieved in stable condition, in addition to the urgent need of patients outside their children , Should terminate the pregnancy as soon as possible, pregnant women with leukemia is not an indication of cesarean section, postpartum should actively prevent infection and bleeding, and early chemotherapy.