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目的探讨妊娠合并血小板减少的原因及其相关治疗方法。方法回顾分析2012年9月至2014年9月收治的妊娠期合并血小板减少48例孕妇的资料。结果妊娠合并血小板减少的主要表现为牙龈出血、鼻出血、皮肤瘀斑。主要病因为妊娠相关性血小板减少症(PAT)、特发性血小板减少性紫癜(ITP)、妊娠期高血压病(PAH)等。结论任何原因引起的血小板减少在妊娠期间都可能严重威胁母婴健康。应积极查明病因,并针对病因采取相应的治疗措施,加强胎儿监护。对血小板小于50×109/L者于分娩前后短期应用糖皮质激素,免疫球蛋白,血小板制剂等。
Objective To investigate the causes of thrombocytopenia in pregnancy and its related treatment. Methods The data of 48 pregnant women with thrombocytopenia during pregnancy admitted from September 2012 to September 2014 were retrospectively analyzed. Results The main manifestations of pregnancy complicated with thrombocytopenia were bleeding gums, epistaxis and ecchymosis of the skin. The main causes of pregnancy-related thrombocytopenia (PAT), idiopathic thrombocytopenic purpura (ITP), gestational hypertension (PAH) and so on. Conclusion Thrombocytopenia caused by any cause may seriously threaten the health of mother and baby during pregnancy. Should actively identify the cause, and take the appropriate treatment for the cause, to strengthen fetal care. For platelets less than 50 × 109 / L shortly before and after delivery of glucocorticoid, immunoglobulin, platelet preparations.