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目的:探讨妊娠与特发性血小板减少性紫癜(ITP)围生期治疗效果及母婴结局。方法:回顾性分析该院1994年以来妊娠合并ITP患者35例(A组),并随机抽取同期住院正常分娩者40例(B组)做一比较。结果:与B组相比,A组剖宫产率明显高于B组,但两组产后出血及围产儿的结局差异无显著性。结论:重视晚期妊娠合并ITP分娩前的综合治疗,适当放宽剖宫产指征是保证重症ITP母婴安全的关键措施。
Objective: To investigate the perinatal treatment outcome and maternal-infant outcome in pregnancy and idiopathic thrombocytopenic purpura (ITP). Methods: A retrospective analysis of 35 cases of pregnancy complicated with ITP (A group) in our hospital from 1994 to 1994, and 40 hospitalized normal delivery persons (B group) were randomly selected for comparison. Results: Compared with group B, the rate of cesarean section in group A was significantly higher than that in group B, but there was no significant difference between the two groups in postpartum hemorrhage and perinatal outcome. Conclusion: It is a key measure to ensure the safety of severe ITP maternal and infant in treating pregnant women with advanced ITP.