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中华产科急救电子杂志 ›› 2015, Vol. 04 ›› Issue (01) : 32 -37. doi: 10.3877/cma.j.issn.2095-3259.2015.01.008

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妊娠合并再生障碍性贫血
甘旭培1, 徐先明1,()   
  1. 1. 200085 上海交通大学附属第一人民医院妇产科
  • 收稿日期:2014-09-06 出版日期:2015-02-18
  • 通信作者: 徐先明

Pregnancy associated aplastic anaemia

Xupei Gan1, Xianming Xu1()   

  • Received:2014-09-06 Published:2015-02-18
  • Corresponding author: Xianming Xu
引用本文:

甘旭培, 徐先明. 妊娠合并再生障碍性贫血[J]. 中华产科急救电子杂志, 2015, 04(01): 32-37.

Xupei Gan, Xianming Xu. Pregnancy associated aplastic anaemia[J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2015, 04(01): 32-37.

妊娠合并再生障碍性贫血是妊娠期一种严重的并发症,以贫血、出血及感染为主,病因包括药物因素、化学因素、感染和放射线照射等。治疗以对症支持治疗为主,可联合免疫抑制治疗、促造血治疗。患者经治疗好转后可以足月分娩,无剖宫产指征者可经阴道分娩,需剖宫产者则输注血小板预防出血。

Pregnancy associated aplastic anaemia is a severe complication during pregnancy, characterized by anemia, bleeding and infection. It can be caused by exposure to drugs, chemicals, infection, radiation and so on. The symptomatic supportive treatment is the main therapy for the pregnancy with aplastic anemia, but it can combine the immunosuppressive therapy or hematopoietic treatment. After treatment, pregnant patients may be recovered and give birth at full-term. Without indications for cesarean section, the patients could choose vaginal delivery. If the patients have to have cesarean section, platelet transfusion is needed before operation to prevent hemorrhaging.

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