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目的:探讨妊娠合并再生障碍物性贫血的治疗。方法:给予多次少量输血或输血小板治疗,并适当给予叶酸、维生素B12及中药治疗。结果:16例中妊娠前发病11例,妊娠期发病5例子。并发妊高征7例,产褥感染5例,16例中有1例患者因颅内出血死亡。结论:再生障碍性贫血患者妊娠需慎重,要加强孕期监护,早期发现并治疗并发症,支持治疗定期少量多次输血是治疗的主要手段,产后积彬促宫缩及抗感染治疗,预防产后出血及感染,并警惕颅内出血。
Objective: To explore the treatment of pregnancy complicated with aplastic anemia. Methods: Give a small amount of blood transfusions or platelet transfusions, and appropriate folic acid, vitamin B12 and Chinese medicine treatment. Results: In 16 cases, 11 cases were diagnosed before pregnancy and 5 cases were diagnosed during pregnancy. Seven cases of pregnancy-induced hypertension, 5 cases of puerperal infection, 16 patients in 1 case died of intracranial hemorrhage. Conclusion: Patients with aplastic anemia need to be cautious during pregnancy. Pregnancy monitoring should be strengthened. Early detection and treatment of complications should be strengthened. A small number of repeated transfusions should be treated as the mainstay of treatment. Postpartum Jubin should promote uterine contractions and anti-infective therapy to prevent postpartum hemorrhage And infection, and be alert to intracranial hemorrhage.