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再生障碍性贫血(简称再障)合并妊娠临床上罕见,对母婴威胁较大,治疗困难。我院妇产科1982~1985年共收治15例,报道如下。临床资料患者年龄在21~34岁之间。15例中慢性再障合并妊娠13例,急性再障合并妊娠2例。妊娠前已患再障12例,妊娠后才发现再障3例。Hb>60g/L 者6例,<40g/L 者9例,均有不同程度的白细胞及血小板减少,最重1例的血象是:Hb17g/L,RBC0.53×10~(12)/L,WBC3.2×10~9/L,TC20×10~9/L。全部病例均做了骨髓穿刺,确诊为再障。妊娠期血象变化:8例贫血加重,5例无变化,2例贫血好转。妊、娩情况:初产妇8例,经产妇7例,共妊娠24次,其中妊娠3次
Aplastic anemia (referred to as aplastic anemia) with pregnancy is rare in clinic, a greater threat to mother and child, treatment is difficult. Obstetrics and Gynecology in our hospital from 1982 to 1985 were treated 15 cases, reported as follows. Clinical data of patients aged 21 to 34 years old. Thirteen cases of chronic aplastic anemia combined with pregnancy in 15 cases and 2 cases of acute aplastic anemia complicated with pregnancy. Aplastic anemia before pregnancy had 12 cases, found only after pregnancy aplastic anemia in 3 cases. Hb> 60g / L in 6 cases, <40g / L in 9 cases, there are varying degrees of leukopenia and thrombocytopenia, the heaviest one case of blood is: Hb17g / L, RBC0.53 × 10-12 / L , WBC3.2 × 10 ~ 9 / L, TC20 × 10 ~ 9 / L. All cases were done bone marrow puncture, diagnosed as aplastic anemia. Changes in blood during pregnancy: 8 cases of anemia increased, 5 cases no change, 2 cases of anemia improved. Pregnancy, delivery conditions: 8 cases of primipara, after the maternal 7 cases, a total of 24 pregnancies, of which 3 pregnancies