妊娠合并重型血小板减少22例临床分析

目的探讨妊娠合并重型血小板减少的常见病因及治疗方法。方法对22例妊娠合并重型血小板减少患者的临床资料进行回顾性分析。结果22例患者给予糖皮质激素、丙种球蛋白、血小板悬液等综合治疗，其中早孕人流1例，中孕引产2例，其余均行剖宫产术，在终止妊娠时均未出现严重的并发症。结论妊娠合并重型血小板减少对母婴危害较大，积极治疗提高血小板是获得良好妊娠结局的关键。

Clinical analysis of 22 cases of severe thrombocytopenia in pregnancy

Objective To explore the common causes and treatment methods of pregnant women with severe thrombocytopenia. Methods The clinical data of 22 pregnant women with severe thrombocytopenia were retrospectively analyzed. Results Twenty-two patients were given the comprehensive treatment, including glucocorticoids, gamma globulin, transfusion of platelets and so on. The early induced abortion were performed in 1 patient, the induced abortion in medpregnaney in 2 patients. The remaining patients underwent cesarean section. In the termination of pregnancy there were no serious complications. Conclusion Thrombocytopenia in pregnancy is very harmful to the mother and infant. The active treatment to increase the platelet is the key to a good pregnancy outcome.