Boehlen Françoise, Samii Kaveh, Epiney Manuella
Service d'angiologie et d'hémostase, Département des spécialités de médecine, HUG, 1211 Genève 14.
Rev Med Suisse. 2011 Feb 9;7(281):340-4.
Thrombocytopenia defined as a platelet count < 150 G/l is found in about 10% of pregnancies. The differential diagnosis is similar to that of non-pregnant women but some specific causes related to pregnancy need to be considered. Even if the so-called gestational thrombocytopenia is the most common etiology, a careful history and simple laboratory tests are needed in order not to miss a serious condition that may require specific and sometimes urgent treatment. However in most cases detailed investigations are not required during pregnancy and a pragmatic attitude can be proposed, including monitoring of platelet count in the mother and platelet count in the newborn.
血小板计数低于150 G/l定义的血小板减少症在约10%的妊娠中出现。其鉴别诊断与非妊娠女性相似,但需要考虑一些与妊娠相关的特定病因。即使所谓的妊娠期血小板减少症是最常见的病因,仍需要仔细询问病史并进行简单的实验室检查,以免漏诊可能需要特殊治疗(有时甚至是紧急治疗)的严重病症。然而,在大多数情况下,孕期不需要进行详细检查,可以采取务实的态度,包括监测母亲的血小板计数和新生儿的血小板计数。