Early identification of the risk factors of pregnancy-related thrombotic microangiopathies can help us reduce the complications of such patients and increase the survival rate of patients. In addition, it is still controversial whether patients with pregnancy-related thrombotic microvessels should receive plasma therapy.
"Objective: To evaluate the risk factors of pregnancy-related thrombotic microangiopathies and the effect of plasma exchange on the prognosis (recovery status of renal function, recovery status of platelets, survival or death within 28 days). Design: A retrospective analysis of pregnant patients admitted to the ICU from 2015 to 2019. According to the outcome indicator of the occurrence of pregnancy-related thrombotic microangiopathies, they were divided into thrombotic microangiopathies group and non-thrombotic microangiopathies group. Patients in the pregnancy-related thrombotic microangiopathy group were divided into plasma exchange combined non-plasma exchange group according to whether they received plasma exchange. Collect the clinical data of the patients, and analyze the data using SPSS 1 7.0 statistical software package. The measurement data were compared by paired t test and one-way analysis of variance; the count data were compared by χ2 test. Compare the differences of the indicators between the two groups and analyze the risk factors of pregnancy-related thrombotic microangiopathies. Then compare whether there is a difference in the prognosis between the plasma exchange group and the non-plasma exchange group."
Study Type
OBSERVATIONAL
Enrollment
50
Plasma exchange was performed daily for five times or until platelet level returned to normal
TMA happen
pregnancy associated thrombotic microangiopathy happen or not at 28th day after ICU admission
Time frame: 28th day after ICU admission
renal function
renal function at 28th day after ICU admission
Time frame: 28th day after ICU admission
platelet level
platelet level at 28th day after ICU admission
Time frame: 28th day after ICU admission
survival rate
survival rate at 28th day after ICU admission
Time frame: 28th day after ICU admission
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