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目的:分析妊娠相关性血小板减少症患者的妊娠结局。方法:回顾性分析55例妊娠相关性血小板减少症患者的资料,对其妊娠结局进行比较。结果:血小板计数在(50-100)×109/L(Ⅰ组)的孕妇剖宫产率、产后出血、新生儿出血、新生儿窒息发生率与对照组比较,差异均无统计学意义(P>0.05)。血小板计数<50×109/L(Ⅱ组)的孕妇剖宫产率与对照组比较,差异有统计学意义(P<0.05);而产后出血、新生儿出血、新生儿窒息发生率与对照组比较,差异无统计学意义(P>0.05)。结论:轻度血小板减少对母儿无明显影响;重度血小板减少对母儿有一定影响。
OBJECTIVE: To analyze the pregnancy outcome in patients with pregnancy-associated thrombocytopenia. Methods: A retrospective analysis of 55 cases of pregnancy-related thrombocytopenia in patients with data on their pregnancy outcomes were compared. Results: There was no significant difference in the rate of cesarean section, postpartum hemorrhage, neonatal hemorrhage and neonatal asphyxia between platelet count (50-100) × 109 / L (Ⅰ group) and control group (P > 0.05). The cesarean section rate of pregnant women with platelet count <50 × 109 / L (Ⅱ group) was significantly higher than that of the control group (P <0.05), while the incidence of postpartum hemorrhage, neonatal hemorrhage and neonatal asphyxia was significantly lower than that of the control group The difference was not statistically significant (P> 0.05). Conclusion: Mild thrombocytopenia had no significant effect on maternal and child; severe thrombocytopenia had some effect on maternal and child.