Division of Hematology/Oncology, University of Michigan Medical Center, University of Michigan, Ann Arbor, MI 48105, USA.
Hematol Oncol Clin North Am. 2011 Apr;25(2):293-310, vii-viii. doi: 10.1016/j.hoc.2011.01.004.
Thrombocytopenia in pregnancy is most frequently a benign process that does not require intervention. However, 35% of cases of thrombocytopenia in pregnancy are related to disease processes that may have serious bleeding consequences at delivery or for which thrombocytopenia may be an indicator of a more severe systemic disorder requiring emergent maternal and fetal care. Thus, all pregnant women with platelet counts less than 100,000/μL require careful hematological and obstetric consultation to exclude more serious disorders.
妊娠期间血小板减少症大多为良性过程,无需干预。然而,妊娠期间血小板减少症的 35%与疾病过程有关,这些疾病可能在分娩时导致严重出血后果,或者血小板减少症可能是更严重全身性疾病的指标,需要紧急进行母婴保健。因此,所有血小板计数低于 100,000/μL 的孕妇均需要仔细的血液学和产科咨询,以排除更严重的疾病。