【摘要】 目的 探讨妊娠合并血小板减少症的临床特征及治疗。方法 选取我院1995年1月～2003年12月间就诊的40例妊娠合并血小板减少患者进行回顾性研究，根据血小板情况分为三组。结果 妊娠早、中期发现血小板减少患者给予口服氨肽素、升白胺等药物治疗;低于20×10 9 /L时给予皮质激素、丙种球蛋白和/或输入血小板等;终止妊娠前应提高血小板水平。阴道分娩25例(62.5%)，剖宫产15例(37.5%)，均有产科指征，9例(22.5%)发生产后出血，阴道分娩及剖宫产患者产后出血发生比例分别为12.0%和40.0%，三组产后出血发生比例分别为75.0%、50.0%和4.2%，差异均有显著性(P<0.05)。早产8例，其中医源性早产6例。1例新生儿出现颅内出血，2例新生儿血小板分别为35×10 9 /L和76×10 9 /L，其余血小板均正常。PAT产妇在产后5周血小板恢复正常，再障及白血病患者3个月后血小板仍未恢复正常。结论 妊娠合并血小板减少症是常见的出血性疾患，注意观察及给予相应治疗，产前适当提高血小板水平，可以减少并发症的出现。

    关键词 妊娠 血小板减少症 临床特征

    Clinical analysis of40patients with thrombocytopenia in pregnancy

    Cai Yuping

    Department of Obstetrics and Gynecology，Songgang People’s Hospital of Shenzhen City，Shenzhen518105.

    【Abstract】 Objective To analyse the clinical feature and therapy of thrombocytopenia in pregnancy.Methods To study40cases who admitted to our hospital during Jan.1995and Dec.2003retrospectively.They were divided into3groups with the PLT concentration.Results They were treated differently because of the gestation weeks and the conˉcentration of the PLT.Before the delivery，the PLT of the patients were raised by many measures.There were25cases of vaginal delivery(62.5%)and15cases of C.S.(37.5%).There were9cases of postpartum bleeding(22.5%).Therates of postpartum bleeding for vaginal delivery and C.S.patients were12.0%and40.0%respectively.The rates of postpartum bleeding for the3groups were75.0% ......