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目的:探讨妊娠合并血小板减少的病因及相应的处理方法。方法:总结1998~2004年间40例妊娠合并血小板减少病人的临床资料。结果:妊娠合并血小板减少的主要原因包括妊娠期血小板减少症(GT),占67.5%;妊娠高血压疾病(妊高征)引起血小板减少(PIH),占17.5%;特发性血小板减少性紫癜(ITP),占10%;血小板生成减少,占5%。治疗方法为在治疗原发病的基础上,针对病因进行相应的处理,对血小板计数小于50×109/L者,于分娩前后短期使用糖皮质激素及血小板制剂。全部病例无孕产妇死亡,新生儿血小板减少4例。结论:妊娠期间血小板减少的原因很多,应根据不同的病因进行相应的处理。
Objective: To investigate the etiology and treatment of thrombocytopenia in pregnancy. Methods: The clinical data of 40 pregnant women with thrombocytopenia during 1998-2004 were summarized. Results: The main causes of thrombocytopenia in pregnancy included gestational thrombocytopenia (GT), accounting for 67.5%; pregnancy induced hypertension (PIH) causing thrombocytopenia (PIH), accounting for 17.5%; idiopathic thrombocytopenic purpura (ITP), accounting for 10%; platelet formation decreased, accounting for 5%. Treatment for the treatment of primary disease on the basis of the cause for the corresponding treatment of platelet count less than 50 × 109 / L, shortly before and after delivery of glucocorticoid and platelet preparations. All cases without maternal death, neonatal thrombocytopenia in 4 cases. Conclusion: There are many reasons for thrombocytopenia during pregnancy, which should be dealt with according to different causes.