【摘要】 目的探讨妊娠期不同病因引起血小板减少与产后出血的相关性,以及围生期的处理方法。方法回顾性分析我院2006年—2008年收治的56例妊娠合并血小板减少的临床资料。常见病因包括妊娠特发性血小板减少症(PAT)、先兆子痫性血小板减少、特发性血小板减少性紫癜(ITP)。结果 PAT为妊娠期血小板减少的常见原因。妊娠期血小板减少患者,血小板计数≤50×109/L者较>50×109/L者产后出血量明显增加,有显著性差异(P<0.01)。结论妊娠合并血小板减少症是引起产后出血的原因之一,针对不同病因采取相应处理,可有效避免不良结局的发生。更多还原

【Abstract】 Objective To evaluate the depend ablity between thrombocytopenia caused by different pathogenesis and postpartum hemorrhage and the perinatal treatment methods.Methods Analyzed the clinical date of 56 patients of thrombocytopenia complicated with pregnancy from 2006 to 2008 in our hospital.The common pathogenesis included thrombocytopenia complicated with pregnancy(PAT),thrombocytopenia complicated with preeclampsia,ITP(idiopathic thrombocytopenic purpura).Results Thrombocytopenia complicated with pregnancy(PAT)was the common pathogenesis.The quantity of postpartum hemorrhage for the patients with platelet <50 ×109/L more than those with platelet>50×109/L.Confirmed the difference was significant(P<0.01).Conclusion Thrombocytopenia complicated with pregnancy is one of the main reason of postpartum hemorrhage.Taking correct methods according to different pathogenesis can effectively avoid the bad result.更多还原