Bhatla N, Buckshee K, Bhargava V L, Takkar D, Malhotra O P
All India Institute of Medical Sciences, Ansari Nagar, New Delhi.
J Assoc Physicians India. 1994 Feb;42(2):105-6.
The management of ITP in pregnancy remains controversial, particularly with reference to labour management. Thirteen pregnancies in 9 women with ITP are analysed with respect to maternal and neonatal outcome. One pregnancy culminated in spontaneous abortion. Ten infants were born by vaginal delivery and two by Caesarean section. There were no maternal or perinatal deaths. Maternal morbidity was not increased significantly due to ITP and none of the infants had purpuric manifestations even with low platelet counts. It is concluded that the obstetric management of these patients should be individualised and should not be based on platelet count alone.
妊娠期免疫性血小板减少症（ITP）的管理仍存在争议，尤其是在分娩管理方面。对9例患有ITP的女性的13次妊娠进行了母婴结局分析。1次妊娠以自然流产告终。10例婴儿通过阴道分娩出生，2例通过剖宫产出生。无孕产妇或围产期死亡。ITP并未显著增加孕产妇发病率，即使血小板计数较低，也没有婴儿出现紫癜表现。结论是，这些患者的产科管理应个体化，不应仅基于血小板计数。
