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目的:探讨妊娠期血小板减少症两种分娩方式的临床治疗情况。方法:回顾性分析62例妊娠合并血小板减少患者的临床资料,根据血小板情况分为4组,对妊娠期发现血小板减少者给予止血敏、糖皮质激素、补充血小板等治疗。结果:行剖宫产者41例,分娩后出血发生率为7.3%;经阴道分娩者21例,分娩后出血发生率为9.5%,两种分娩方式的分娩后出血率无明显差异。62例新生儿无颅内出血、皮肤淤斑等出血症状,亦无死亡病例。结论:严密监护及积极治疗妊娠合并血小板减少症,产前适当提高血小板水平,选择合适的分娩方式,可以减少产后出血。
Objective: To investigate the clinical treatment of two modes of delivery during gestation thrombocytopenia. Methods: A retrospective analysis of 62 cases of pregnancy with thrombocytopenia in patients with clinical data, according to the platelet situation is divided into 4 groups, for the discovery of thrombocytopenia in pregnancy given hemostatic sensitivity, glucocorticoids, such as platelet replacement therapy. Results: The incidence of cesarean section in 41 cases, the incidence of postpartum hemorrhage was 7.3%; vaginal delivery in 21 cases, the incidence of postpartum hemorrhage was 9.5%, the two modes of delivery of postpartum hemorrhage rate was no significant difference. 62 newborns without intracranial hemorrhage, skin ecchymosis and other bleeding symptoms, nor deaths. Conclusion: Careful monitoring and active treatment of pregnancy complicated with thrombocytopenia, prenatal appropriate increase in platelet levels, select the appropriate mode of delivery, can reduce postpartum hemorrhage.