妊娠合并特发性血小板减少性紫癜临床研究

目的 探讨妊娠与特发性血小板减少性紫癜（ITP）的相关性。方法 回顾性分析我院2000年以来妊娠合并ITP患者32例（A组），并随机抽取同期住院女性患者80例（包括B组：正常分娩者40例；C组：非妊娠但有ITP 40例）作一比较。结果与B组相比，A组其剖宫产率、产后出血量、产后住院时间等均相应提高，而母婴病死率、新生儿窒息率无差异。与C组比，A组其血小板计数、血小板分布宽度、凝血功能及出血倾向等差异显著。结论 ITP会影响妊娠者的凝血功能。加重妊娠的出血倾向，而妊娠不影响ITP的病情，但却可能减轻ITP患者的临床征象。

Analysis of Cases with Idiopathic Thrombocytopenic Purpura in Pregnancy

Objective To study the relativity of pregnancy and idiopathic thrombocytopenic purpura(ITP).Method Thirty two pregnancies with ITP from 2000 to 2005 in our hospital were analyzed retrospectively(A group).Eighty feminine inpatients were selected at random and were compared(to include)forty nomal pregnancy delivery(B group)and forty ITP(C group).Results Compared with B group,the ratio of cesarean section,the occurrence of postpartum hemorrhage and time of hospitalization after postpartum of A group was higher.But the mortality of mother and baby and the ratio of choke of neonaty was not sigrificantly different.compared with C group,the number and width of platelet,functing of cruor,and the occurrence of hemorrhage was clearly differentce.Conclusion We think that ITP could effect the functon of cruor of pregnancy,and aggravate the occurrence of hemorrhage of pregnancy. pregnancy didn't affect the course of ITP.