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妊娠合并再生障碍性贫血的诊治进展 被引量:8

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摘要 再生障碍性贫血(再障)由多种病因引起,以造血干细胞数量减少和细胞结构的缺陷为主所导致的造血功能衰竭和红骨髓总容量减少,并代以脂肪髓,骨髓中无恶性细胞浸润,无广泛网硬蛋白纤维增生,临床上以全血细胞减少为主要表现的一组综合征[1]。根据国内21个省(市、自治区)的调查,再障的年发病率为7.4/10万,明显高于欧美国家的发病率(2.0~2.7)/10万01。目前,国内外没有关于妊娠合并再障的流行病学调查资料。虽然妊娠合并再障较为少见,但其在妊娠和分娩过程中可因母体贫血、感染和出血等风险,造成母儿不良结局,甚至导致孕产妇死亡。因此,妊娠合并再障是妊娠期围产保健中需加强认识并积极防治的血液系统疾病之一。由于目前国内外报道的病例数较少,尚缺乏孕期的治疗规范,本文就国内外有关妊娠合并再障的诊治进展进行综述如下。
作者 李博 梁梅英
出处 《中华妇产科杂志》 CAS CSCD 北大核心 2014年第9期706-709,共4页 Chinese Journal of Obstetrics and Gynecology
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参考文献27

  • 1陈灏珠,林果为,王吉耀实用内科学[M].14版北京:人民卫生出版社:2013:9.
  • 2王蔚,王小钦,李佩,林果为.上海市成人再生障碍性贫血发病率调查[J].中华内科杂志,2011,50(4):284-286. 被引量:2
  • 3Ehrlich.Uber einen fall yon Anamie,mil Bemer Kungen uber regenative veranderungen des knochen marks[J].Charite Ann,1888,13:300-309.
  • 4Bourantas K,Makrydimas G,Georgiou I,et al.Aplastic anemia Report of a case with recurrent episodes in consecutive pregnancies[J].J Reprod Med,1997,42:672-674.
  • 5Young NS.Acquired aplastic anemia[J].Ann Intern Med,2002,136:534-546.
  • 6Choudhry VP,Gupta S,Gupta M,et al.Pregnancy associated aplastic anemia:a series of 10 cases with review of literature[J].Hematology,2002,7:233-238.
  • 7Stibbe KJ,Wildschut HI,Lugtenburg PJ.Management of aplastic anemia in a woman during pregnancy:a case report[J].J Med Case Rep,2011,5:5-66.
  • 8Shetty A,Anwar SQ,Acharya S.Aplastic anaemia in pregnancy[J].J Obstst Gynaecol,2011,31:77-78.
  • 9Kwon JY,Lee Y,Shin JC,et al.Supportive management of pregnancy-associated aplastic anemia[J].Int J Gynaecol Obstet,2006,95:115-120.
  • 10Thakral B,Saluja K,Sharma RR,et al.Successful management of pregnancy-associated severe aplastic anemia[J].Eur J Obstet Gynecol Reprod Biol,2007,131:244-245.

二级参考文献54

共引文献200

同被引文献60

  • 1陈悦.妊娠晚期肝病与妊娠结局的关系[J].广西医科大学学报,2005,22(5):709-710. 被引量:7
  • 2蒋佩茹,邱申熊.妊娠期肝病2137例临床分析[J].肝脏,2006,11(4):247-248. 被引量:21
  • 3张洪芹,吕耀凤,蔺香云,崔景晶.孕前肥胖及孕期体重增长过度与妊娠期并发症及分娩结局的关系探讨[J].实用妇产科杂志,2007,23(2):117-119. 被引量:53
  • 4雷玉秀,李凤莲,王玉梅.妊娠高血压综合征13年发病规律及相关因素病例对照分析[J].中国妇幼保健,2007,22(28):3943-3945. 被引量:40
  • 5Miyakawa Y, Kashiwagi H, Takafuta T, et al. Consensus report for the management of pregnancy with primary immune thrombocytopenia[J]. Rinsho Ketsueki, 2014, 55(8) :934-947.
  • 6Marsh JC, Ball SE, Cavenagh J, et al. Guidelines for the diagnosis and management of aplastic anaemia [ J ]. Br J Haematol, 2009, 147( 1 ) :43-70.
  • 7Pentheroudakis G, Pavlidis N. Cancer and pregnancy: poena magna, not anymore [ J ]. Eur J Cancer, 2006, 42 (2) : 126-140.
  • 8Xu X, Liang MY, Wang JL, et al. Clinical features and outcome of pregnancy with SLE-associated thrombocytopenia[J]. J Matem Fetal Neonatal Med, 2015, 9:1-6.
  • 9British Committee for Standards in Haematology General Haematology Task Force. Guidelines for the investigation and management of idiopathic thrombocytopenic purpura in adults, children and in pregnancy[J]. Br J Haematol, 2003, 120(4): 574-596.
  • 10Provan D, Stasi R, Newland AC, et al. International consensus report on the investigation and management of primary immune thrombocytopenia[ J ]. Blood, 2010, 115 ( 2 ) : 168-186.

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