| 晚期妊娠合并原发性血小板减少性紫癜21例分析 |
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| 引用本文： | 林秀琳,施琦阳.晚期妊娠合并原发性血小板减少性紫癜21例分析[J].福建医药杂志,2004,26(4):32-34. |
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| 作者姓名： | 林秀琳 施琦阳 |
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| 作者单位： | 福建医科大学附属第二医院妇产科,362000 |
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| 摘 要： | 目的:探讨晚期妊娠合并原发性血小板减少性紫癜(ITP)的治疗与分娩方式。方法:对21例晚期妊娠合并ITP患者进行回顾性分析。结果:21例患者给予肾上腺糖皮质激素、免疫球蛋白、血小板等综合治疗。剖宫产14例，占66．67％，阴道分娩7例，占33．33％。产后出血发生率分别是剖宫产占21．43％，阴道分娩占28．57％。结论:晚期妊娠合并ITP分娩前后的综合治疗，放宽剖宫产指征是保证母婴安全的关键措施。
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| 关 键 词： | 晚期妊娠 原发性血小板减少性紫癜 ITP 患者 剖宫产 综合治疗 阴道分娩 合并 目的 保证 |
| 文章编号： | 1002-2600(2004)04-0032-03 |
Clinical analysis on 21 cases of late pregnancy with idiapathic thrombocytopenic purpura |
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| Lin Xiulin,Si Qiyang.Clinical analysis on 21 cases of late pregnancy with idiapathic thrombocytopenic purpura[J].Fujian Medical Journal,2004,26(4):32-34. |
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| Authors: | Lin Xiulin Si Qiyang |
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| Institution: | Lin Xiulin,Si Qiyang.Department of Obstetrics and Gynecology,the Second Affiliated Hospital of Fujian Medical University,Quanzhou 362000,China |
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| Abstract: | Objective To investigate the therapy and deliver ways of late pregnancy with ITP.Methods Twenty-one women of late pregnancy with ITP were analyzed retrospectively.Results The general therapy of cortical hormone,immunoglobulin and throbocyte etc was used in 21 cases.The deliver ways were showed that cesarean section was 14 cases (66.67%)and viginal delivery was seven cases(33.33%).Postpartum hemorrhage rate was 21.43% in cesarean section and 28.57% in viginal delivery.Conclusions It is important management to sure infants and mothers safety for women of late pregnancy with ITP that the general therapy was used in antepartum and postpartum and that the indication of cesarean section can be used extandly. |
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| Keywords: | Late pregnancy ITP Cesaream section Viginal delivery |
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