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[血小板减少症女性的妊娠与分娩]

[Pregnancy and delivery in women with thrombocytopenia].

作者信息

Szkodny E, Sikora J, Bakon I, Zietek J

机构信息

Katedry i Kliniki Połoznictwa i Ginekologii Sl.A.M. w Katowicach-Ligocie.

出版信息

Ginekol Pol. 2001 Dec;72(12A):1296-9.

Abstract

Maternal immune thrombocytopenia is a frequent finding in pregnancy and is most commonly asymptomatic and clinically benign. 8 pregnant women with thrombocytopenia between January 1995 and December 2000, in Clinic of Obstetrics and Gynecology in Katowice-Ligota, were evaluated. 7 patients had idiopathic thrombocytopenia purpura and one (31 years old) had cirrhosis, splenomegaly, thrombocytopenia and elevated liver enzymes. 6 cases was steroid-treated with initial platelet count 4,000 per cubic millimeter to 115,000 per cubic millimeter after treatment. Alloimmune thrombocytopenia is a serious fetal disorder, resulting from platelet-antigen incompatibility between the mother and fetus. Among all newborns only one had thrombocytopenia, platelet count 45,000 per cubic millimeter, without neonatal intracranial hemorrhage. 6 women had cesarean section and 2 patients delivered naturally.

摘要

孕妇免疫性血小板减少症在孕期较为常见,通常无症状且临床症状较轻。对1995年1月至2000年12月在卡托维兹-利戈塔妇产科诊所就诊的8例血小板减少症孕妇进行了评估。7例患者患有特发性血小板减少性紫癜,1例(31岁)患有肝硬化、脾肿大、血小板减少症和肝酶升高。6例患者接受了类固醇治疗,治疗前血小板计数为每立方毫米4000,治疗后为每立方毫米115000。同种免疫性血小板减少症是一种严重的胎儿疾病,由母亲和胎儿之间的血小板抗原不相容引起。在所有新生儿中,只有1例患有血小板减少症,血小板计数为每立方毫米45000,无新生儿颅内出血。6名妇女进行了剖宫产,2名患者自然分娩。

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引用本文的文献

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Thrombocytopenia in Pregnancy Nearing Term: A Clinical Analysis.
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