病历摘要患者谢××,25岁,住院号188775。因妊娠39周~(+1)初孕LOA 合并原发性血小板减少性紫癜于1988年1月7日入院。患者末次月经1987年4月6日,预产期1988年1月13日。停经40余天有早孕反应,停经4个月自觉胎动。孕2个月起全身皮肤出现散在出血点和出血性瘀斑,化验血小板为3.9×10~9/L,骨髓穿刺,骨髓像中幼稚型巨核细胞增多,产血小板的巨核细胞减少,诊为“原发性血小板减少性紫癜”。此后时常出现齿龈出 Medical records summary Xie × ×, 25 years old, hospital number 188775. Due to 39 weeks of pregnancy ~ (+1) first trimester LOA combined with primary thrombocytopenic purpura was January 7, 1988 admission. Patients with the last menstrual April 6, 1987, the expected date of January 13, 1988. Menopause more than 40 days have early pregnancy reaction, 4 months after menopause conscious fetal movement. Prone to bleeding in 2 months after birth, there are scattered bleeding spots and hemorrhagic ecchymosis, platelet count was 3.9 × 10 ~ 9 / L, bone marrow puncture, bone marrow like juvenile megakaryocytes increased platelet-producing megakaryocytes decreased, diagnosed as “ Primary thrombocytopenic purpura ”. Gingival outflow often occurs thereafter