妊娠期溶血的管理

妊娠合并溶血可发生于原发性血液系统疾病，也可继发于妊娠期特发性疾病，需要产科医生尽早识别病因并全面评估母儿状况，给予合理的对症治疗、多学科管理以及发生严重并发症时的强化危重症管理。本文就妊娠期溶血的发病机制和临床表现，以及孕期常见溶血性疾病的监测及治疗进行讨论。

Management of hemolysis during pregnancy

Both primary hematological diseases and idiopathic diseases during pregnancy can lead to hemolysis in pregnancy. Obstetricians need to identify the cause of the disease as early as possible, assess the status of the mother and fetus comprehensively, provide adequate treatment and multidisciplinary management as well as emphasize critical illness management in severe complications. This article discusses not only the pathogenesis and clinical manifestations of hemolysis in pregnancy, but also the monitoring and treatment of common hemolysis disease during pregnancy.