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随着白血病治疗的进展,使白血病患者得以长期存活。因此,生育及妊娠问题亦渐被重视。本文介绍4例妊娠合并慢性髓性白血病6次妊娠的经过。例1. 26岁。首次妊娠血常规检查发现慢性髓性白血病,用潘生丁及阿斯匹林治疗,孕12周时自然流产。以后接受骨髓移植。停止治疗5个月后再次妊娠,此时白细胞计数升到172×10~9/L。整个妊娠期间采用白细胞去除法,维持白细胞计数在100~120×10~9/L。35周胎膜早破,分娩一脊柱裂、双足畸形儿,体重2950g。经手术治疗后,现婴儿生长发育好。
With the progress of leukemia treatment, patients with leukemia can be long-term survival. Therefore, the issue of maternity and pregnancy has gradually been taken seriously. This article describes the 4 cases of pregnancy complicated with chronic myelogenous leukemia after 6 pregnancies. Example 1. 26 years old. First pregnancy blood test found that chronic myelogenous leukemia, dipyridamole and aspirin treatment, 12 weeks of pregnancy spontaneous abortion. After receiving bone marrow transplantation. Stop treatment 5 months after pregnancy, when the leukocyte count rose 172 × 10 ~ 9 / L. Leukocyte removal was used throughout the pregnancy to maintain a white blood cell count of 100-120 × 10-9 / L. 35 weeks premature rupture of membranes, childbirth a spina bifida, bipedal deformity, weight 2950g. After surgery, the baby is good growth and development.