妊娠合并血小板减少的研究新进展

妊娠合并血小板减少(PT)是围生期一种常见疾病,其发病率约为10%。孕期2次检测血小板计数<100×109/L(排除有凝血功能障碍者)即诊断为血小板减少。它可由多种原因引起,如妊娠相关性血小板减少、特发性血小板减少性紫癜、妊娠期高血压疾病、再生障碍性贫血、脾功能亢进、系统性红斑狼疮等。PT患者在孕期应进行严格的产前检查。处理的重点是积极预防由于血小板减少所致的出血,争取在产前给予相应的治疗,积极治疗合并症和并发症。

Recent Research Progress of Pregnancy with Thrombocytopenia

Pregnancy with thrombocytopenia is a common disease during perinatal period,the incidence of which is about 10%.The platelet count in pregnancy less than 100 × 109/L by 2 checks(excluding the coagulation dysfunction) is the diagnosis of thrombocytopenia.It can be caused by a variety of reasons,such as pregnancy associated thrombocytopenia,idiopathic thrombocytopenic purpura,hypertensive disorders in pregnancy,aplastic anemia,hypersplenism,and systemic lupus erythematosus.Pregnant women with thrombocytopenia should be given strict prenatal care.The focus of treatment is to actively prevent bleeding due to thrombocytopenia,and strive to give appropriate treatment,and active treatment to the comorbidities and complications during the prenatal stage.