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原发性血小板减少性紫癜(1TP)是常见的出血性疾病。此病对母子均可产生严重的后果,母亲死亡率高达11%,围产儿死亡率为6%[1]。妊娠早期合并ITP往往引起孕妇流产、早产,产后大出血和死胎等。为防止分娩过程中大出血,给孕妇输注浓缩血小板,可收到较好的治疗效果。现将我院近年治疗的ITP合并妊娠2例报告如下。1病例报告:例1:李XX,27岁,工人,患者于1997年8月无明显诱因发现四肢散在有大小不等的紫癜,以大腿较多,反复出现,伴鼻衄、牙龈出血。查血小板为28X109/L,经行骨穿刺确珍为ITP。因妊娠39周,于2000年5月23日收院待产。
Primary thrombocytopenic purpura (1TP) is a common hemorrhagic disease. The disease can have serious consequences for both mother and child, with a maternal mortality rate of 11% and a perinatal mortality rate of 6%. [1] Early pregnancy ITP often lead to miscarriage, premature birth, postpartum hemorrhage and stillbirth. In order to prevent bleeding during childbirth, pregnant women with concentrated platelet transfusion can receive better treatment. Now in our hospital in recent years, ITP combined treatment of pregnancy reported 2 cases are as follows. 1 case report: Example 1: Li XX, 27 years old, workers, patients in August 1997 no obvious incentive to find limbs scattered in varying sizes of purpura to the thigh, recurring, with epistaxis, bleeding gums. Check the platelets to 28X109 / L, the bone puncture indeed Jane ITP. Due to 39 weeks of gestation, on May 23, 2000 hospital for delivery.