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目的探讨妊娠期血小板减少的有关原因及其相关治疗方法。方法回顾分析2007年1月～2011年10月收治的36例妊娠期血小板减少孕妇的临床资料。结果妊娠期血小板减少的主要表现为牙龈出血、鼻出血、皮肤淤斑。处理的重点是治疗合并症和并发症,预防重度血小板减少所致的出血倾向,严格产前监护。血小板≥50×10~9/L而无临床出血表现的患者经阴道分娩是安全的。血小板<50×10~9/L时应在血源准备充分的情况下进行剖宫产手术。结论任何原因引起的血小板减少在妊娠期间都可能严重威胁母婴健康,应积极查明病因,并针对病因采取相应的治疗措施。
Objective To investigate the related causes of thrombocytopenia in pregnancy and its related treatment. Methods The clinical data of 36 pregnant women with thrombocytopenia during pregnancy from January 2007 to October 2011 were retrospectively analyzed. Results The main manifestations of gestation thrombocytopenia were gum bleeding, epistaxis and skin ecchymosis. The focus of treatment is the treatment of complications and complications, prevention of bleeding due to severe thrombocytopenia, strict prenatal care. Transvaginal delivery in patients with platelets ≥ 50 × 10 ~ 9 / L without clinical bleeding is safe. Platelets <50 × 10 ~ 9 / L should be cesarean section in the case of adequate blood supply. Conclusion Thrombocytopenia caused by any cause may seriously threaten the health of mother and baby during pregnancy. Etiology should be actively identified and the corresponding treatment measures should be taken according to the cause.