妊娠合并重度特发性血小板减少性紫癜的诊治

妊娠合并特发性血小板减少性紫癜(idiopathic thrombocytopenic purpura，ITP)是孕妇妊娠期间常见的血液系统疾病，临床表现以出血为主，贫血及感染风险轻度增加，ITP在整体上并不影响母儿结局，但会使出血的风险增加。本文重点就妊娠合并重度ITP的诊治、对母儿影响及孕期管理进行讨论。

Diagnosis and treatment of pregnancy complicated with severe idiopathic thrombocytopenic purpura

Idiopathic thrombocytopenic purpura (ITP) is a common blood system disease during pregnancy. Hemorrhage is the main clinical manifestation, and the risk of anemia and infection is slightly increased. ITP does not affect the outcome of mother and child as a whole, but it will increase the risk of bleeding. This article focuses on the diagnosis and treatment of pregnancy with severe ITP, the impact on mother and child and the management of pregnancy.