Analysis Of129Cases Of Gestational Thrombocytopenia

Objective: To investigate the cause of pregnancy with thrombocytopenia,coagulation, maternal bleeding, mode of delivery and the perinatal throughanalysis of the last three years cases and provide a theoretical basis for clinicaltreatment.Methods: The clinical information of129pregnant patients withthrombocytopenia from2009to2011in our hospital was analyzed, and theyare divided into three groups (≥50×109/L,20-50×109/L, platelet count≤20×109/L), and the control group for this period is20cases of normal pregnantwomen. SSPS13.0statistical software is used for data processing, and analysisof variance of the Student-Newman-Keuls multiple comparisons. P <0.05wasconsidered statistically significant.Results:1The cause of pregnancy with thrombocytopeniaThere are129cases of pregnancy cases of thrombocytopenia Pregnancy-related platelet reduce (PAT) are a total of85cases, accounting for the total65.9%; Special-onset platelets to reduce sexual purpura (ITP) are19casesaccounting for the total14.7%. There are8cases of preeclampsia, accountingfor6.2%of the total. Aplastic anemia are11cases, accounting for8.5%of thetotal.2The comparison of coagulogramAnalysis of variance results for the Student-Newman-Keuls multiple co-mparisons between the PT value is that P>0.05and there is no significantdifference between the PT value. Analysis of variance results for the Student-Newman-Keuls multiple comparisons between the APTT value is that P>0.05and there is no significant difference between the APTT value.3The choice of mode of deliveryExcept for cases of obstetric indications, the remaining cases are divided into three groups according to the level of platelet(platelet count≤20×109/L isa group, the platelet count20-50×109/L, platelet count≥50×109/L). The controlgroup is20cases of normal pregnant women. Analysis of variance results forthe Student-Newman-Keuls multiple comparisons between the four groupsof objects vaginal delivery bleeding is that P>0.05and there is no significantdifferences between the four groups of objects vaginal delivery, the amount ofbleeding. Analysis of variance results for the Student-Newman-Keuls multiplecomparisons between the four groups of objects cesarean section hemorrhageis that P>0.05and there is no significant differences between the four groupsof objects cesarean section bleeding.4The perinatalThere are four cases of patients with induction of labor in patients withITP, and four cases of patients with induction of labor, in aplastic anemiapatients. Both the cause of the fewer number of cases, it does not discuss theperinatal. Only the pregnancy-related thrombocytopenia in patients with neo-natal is discussed. PAT was not found in patients with neonatal intracranialhemorrhage and other organs and bleeding complications, and there not theperformance of neonatal asphyxia. Birth weight birth weight and normal preg-nant women were analyzed statistically. The result is that P>0.05and there nosignificant differences between the birth weights.Conclusion:1The cause of a pregnancy with thrombocytopenia ispregnancy-associated platelet reduction (PAT), idiopathic thrombocytopenicpurpura (ITP), hypertensive disorders in pregnancy, and aplastic anemia.2Pregnant women with thrombocytopenia did not cause the exception of bloodcoagulation.3The choice of the ways of childbirth of pregnant women withthrombocytopenia is on the basis of obstetric and platelet count. Viablevaginal trial production can be chose in the absence of obstetric indications.4Pregnancy-related thrombocytopenia does not cause serious effects on thefetus and newborn.5Pregnant women with thrombocytopenia will not be severely affected to maternal and child by the correct diagnosis andtreatment. Pregnant women and newborn prognosis is good.