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分析70例妊娠合并血小板(PT)疾病,提示母亲并发症是产后出血,发生率为14.3(10/70),9例为PT 5—10万组的初产妇,占该组初产妇的26.5%。其原因主要与产程偏短、产后宫缩剂应用不及时、不足最确关。如初产妇产程控制在12—14小时,产后快速用足量宫缩剂,可大大降低其发生率。围产儿死亡率2.9%,均发生于PT<5万组,占该组17.6%(3/17)。死因与原发病的严重性、长期服类固醇、早产。产时胎儿监护不严有关,此类病人不宜妊娠。产前2周服强的松,可提升ITP孕妇及其胎儿的PT值,增加阴道分娩时胎儿的安全性。
Analysis of 70 cases of pregnancy complicated with platelet (PT) disease, suggesting that maternal complications postpartum hemorrhage, the incidence was 14.3 (10/70), 9 cases of PT 5-10 million primipara, accounting for 26.5% . The main reason for the short side and labor, postpartum uterine contracting agent application is not timely, the lack of the most accurate. Such as primiparous birth control in 12-14 hours, rapid enough with postpartum uterotonics, can greatly reduce the incidence. Perinatal mortality was 2.9%, all of which occurred in PT <50,000 groups, accounting for 17.6% (3/17) of the group. Cause of death and the severity of the primary disease, long-term steroid, premature birth. Maternal fetal protection during labor-related, such patients should not be pregnant. Prednisone 2 weeks of pre-service, can enhance ITP pregnant women and their fetus PT value, increase the safety of the fetus during vaginal delivery.