妊娠合并血栓性血小板减少性紫癜的诊断与治疗(1)
【摘要】 目的 探讨妊娠合并血栓性血小板减少性紫癜的诊断和治疗。方法 回顾分析我院救治成功的2例妊娠合并血栓性血小板减少性紫癜的资料。结果 2例患者均出现溶血性贫血、血小板减少、神经系统异常、发热、肾脏、肝脏、心脏等多器官系统损害，起病初均未能正确诊断；经行血浆置换、血液透析及支持对症治疗，救治成功。结论 妊娠合并血栓性血小板减少性紫癜可出现多器官功能损害，易误诊；诊断血栓性血小板减少性紫癜时依据微血管性溶血性贫血、血小板减少、神经系统异常、发热及肾脏损害；治疗上采取以血浆置换为中心的综合治疗。【关键词】 妊娠；血栓性血小板减少性紫癜；诊断；治疗
The diagnosis and treatment of thrombotic thrombocytopenic purpura in pregnancyZHOU Shui-sheng，HUANG Min,GU Jian,et al.The 3-rd Affiliated Hospital of Zhongshan University,Guangzhou 510630,China【Abstract】 Objective To explore the diagnosis and treatment of thrombotic thrombocytopenic purpura in pregnancy.Methods The data of 2patients of thrombotic thrombocytopenicpurpura in pregnancywho were cured successfully inour hospital were looked back to.Results Microangiopathichemolytic anemia ......
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