胎盘早剥43例临床分析

Clinical Report of Forty-three Cases of Abruptio Placentae

目的探讨影响胎盘早剥诊疗的原因,改善妊娠结局与围产儿预后。方法回顾分析43例胎盘早剥有关孕期保健、围产期监测、产妇与围产儿结局的临床资料。结果胎盘早剥的发生率为0.72%,漏诊率为18.6%,诱因为妊娠高血压综合征占41.9%,剖宫产占39.5%,围产儿死亡率为232.6‰,孕周小于38周或胎盘剥离面积大于1/3者,围产儿死亡率高。结论胎盘早剥的诊断应注重病史与诱因,及早剖宫产终止妊娠,可提高母儿的生存质量。

Objective To investigate the effect of factors on the diagnosis and therapy of abruptio placentae, improving prognosis of gestation and perinatal newborns. Meth- ods Retrospective analysed the clinical material of 43 cases with abruptio placentae which healthing during pregnant period, monitoring of perinatal period, and the outcome of parturient and perinatal infant. Results The incidence of abruptio placentae was 0. 72%, the incidence of miss-diagnosis was 16.8%. There are 41.9 percent of inducement toabr...