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目的:系统研究妊娠相关血小板减少症的临床特征和处理。方法:回顾分析113例妊娠相关血小板减少症的临床资料。结果:81.5%(92/113)属于轻度血小板减少,剖宫产和自然分娩两种方式出血量比较无显著差别,产后血小板多在一周内恢复正常。结论:血小板减少症诊断首先排除其它原因引起的血小板减少,如无产科手术指针,分娩方式应以阴道分娩为宜,血小板<30×109/L,应输注血小板后行剖宫产。
Objective: To systematically study the clinical features and treatment of pregnancy related thrombocytopenia. Methods: A retrospective analysis of 113 cases of pregnancy-related thrombocytopenia clinical data. Results: 81.5% (92/113) were mild thrombocytopenia. There was no significant difference in blood loss between cesarean section and spontaneous delivery. Postpartum platelets returned to normal within one week. Conclusions: The diagnosis of thrombocytopenia first rule out other causes of thrombocytopenia, such as obstetric guidelines, mode of delivery should be vaginal delivery is appropriate, platelets <30 × 109 / L, should be transfused after cesarean section.