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目的探讨妊娠合并特发性血小板减少性紫癜疾病孕妇分娩前的处理方法。方法回顾我院2000年1月1日-2005年1月1日妊娠合并特发性血小板减少性紫癜患者的临床资料进行分析。血小板计数<80×109/L,口服止血药。血小板计数<30-60×109/L,使用甲基强的松龙40mg/d,连续3-5天。血小板<30×109/L,使用甲基强的松龙+丙种球蛋白+血小板悬液。结果38例妊娠合并特发性血小板减少性紫癜,17例阴道分娩,21例剖宫产,产后出血3例,无颅内出血,无孕产妇死亡。结论甲基强的松龙、丙种球蛋白、血小板悬液是治疗妊娠合并特发性血小板减少性紫癜的有效方法。
Objective To investigate the treatment of pregnant women with idiopathic thrombocytopenic purpura during pregnancy before delivery. Methods The clinical data of patients with idiopathic thrombocytopenic purpura during pregnancy in our hospital from January 1, 2000 to January 1, 2005 were retrospectively analyzed. Platelet count <80 × 109 / L, oral hemostatic. Platelet count <30-60 × 109 / L, the use of methylprednisolone 40mg / d, for 3-5 days. Platelets <30 × 109 / L, the use of methylprednisolone + gamma globulin + platelet suspension. Results 38 cases of pregnancy complicated with idiopathic thrombocytopenic purpura, 17 cases of vaginal delivery, 21 cases of cesarean section, 3 cases of postpartum hemorrhage, no intracranial hemorrhage, no maternal deaths. Conclusion Methylprednisolone, gamma globulin and platelet suspension are effective methods for the treatment of idiopathic thrombocytopenic purpura in pregnancy.