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自1962至1981年,共遇12例再障合并妊娠。此12例病后总共妊娠17次。5次早孕经人工流产术终止,均平安度过。12次中、晚期妊娠应用支持疗法维持,结果1例死亡。资料分析提示:①再障可能因妊娠而恶化,再障患者不宜妊娠;②再障对母儿的威胁均大,患者一旦妊娠应及早终止;③如病情危重或就诊时,妊娠已届中、晚期,则此时终止妊娠有较大的危害性,反不如听其自然分娩为好。继续妊娠期间必须注意营养摄入、掌握输血指征、控制出血倾向及防治感染。产时适当缩短第二产程。胎盘排出前后重用宫缩剂。产后积极治疗再障,防止感染。产褥期子宫出血多时,可试用合成孕激素止血。
From 1962 to 1981, a total of 12 cases of aplastic anemia combined pregnancy. The 12 cases of pregnancy after a total of 17 times. 5 first trimester by artificial abortion termination, were safely spent. Twelve secondary and late pregnancies were treated with supportive care and 1 patient died. Data analysis suggests that: ① aplastic anemia may worsen due to pregnancy, aplastic anemia patients should not be pregnant; ② aplastic anemia on the mother and child are large, the patient should be terminated as early as pregnancy; ③ such as critical illness or treatment, pregnancy has been, Late, then the termination of pregnancy at this time have a greater danger, it is better to listen to their natural childbirth as well. Continue to pay attention to nutrition during pregnancy, blood transfusion control indications, control bleeding tendency and prevent infection. Properly shorten the second stage of labor during labor. Uterine contractions before and after the discharge of the placenta. Postpartum aggressive treatment of aplastic anemia, to prevent infection. Puerile uterine bleeding for a long time, try synthetic progestin to stop bleeding.