【摘要】 目的:探讨妊娠相关性血小板减少患者的治疗、分娩方式及对新生儿的影响。方法:回顾性分析2009年12月至2011年12月收治的102例妊娠相关性血小板减少患者的临床资料。结果:血小板计数<50×109/L(Ⅰ组)的孕妇早产、新生儿窒息、新生儿头颅出血、新生儿血小板减少的发生率与对照组比较差异无统计学意义;剖宫产率、产后出血发生率比对照组高,两组比较差异有统计学意义(P<0.05)。血小板计数在(50～100)×109/L(Ⅱ组)的孕妇剖宫产、产后出血、早产、新生儿窒息、新生儿头颅出血、新生儿血小板减少的发生率与对照组比较。差异均无统计学意义。结论:随着妊娠期血小板减少程度的加重,孕妇剖宫产、产后出血及新生儿血小板减少的发生率可能增加,母婴结局与孕妇血小板减少的程度有关。更多还原

【Abstract】 Objective:To explore the therapy and delivery mode and the maternal and newborn influence of pregnancy correlated to thrombocytopenia.Methods:The data of 102 case with thrombocytopenia during pregnancy were reviewed from Dec.2009 to Dec.2011.Results:The rate of premature delivery and neonatal asphyxia and neonatal head bleeding and the incidence of neonatal platelets decrement of the pregnant women with platelet count <50×109 / L(group Ⅰ) compared with the control group,the difference was not statistically significant.The rate of cesarean section and postpartum hemorrhage of group Ⅰ was higher than that of the control group,the difference was statistically significant.The rate of cesarean section and the bleeding after delivery and premature birth and neonatal asphyxia and neonatal head bleeding and the incidence of neonatal platelets decrement of the pregnant women with platelet count >50×109 /L(group Ⅱ),compared with the control group,the difference was not statistically significant.Conclusion:Along with the gestation period,thrombocytopenia degree aggravating,pregnant women cesarean section and postpartum hemorrhage may increase,the newborn with the prevalence of thrombocytopenia also may increase,and outcomes of pregnant women and the degree of thrombocytopenia relevant.更多还原