胎盘早剥30例临床分析

Pregnency Complicated with Placental Abruption Clinical Analysis of 30 Cases

本文回顾性分析我院自1983年1月至1993年10月分娩的18350例中，胎盘早剥30例，发生率为0．163％，其中剖宫产15例（占50．5％），产后出血7例（占23．33％），低体重儿7例（占23．33％），新生儿窒息6例（占20％），围产儿死亡率16．67％（5例）。分析认为，胎盘早剥为妊娠晚期的严重并发症，除典型的早剥症状外，无原因的胎心异常、腹痛、腰痛、阴道流血、高张性子宫收缩等均要考虑胎盘早剥的可能，B超可协助诊断，但应结合临床观察，及时处理，以降低母儿死亡率。

This article retrospectively studies 18350 pregnant women who gave birth to their babies in our hospital from Jan. 1983 to Oct. 1993. 30 cases were found to have placental abruption. The incidence was 0. 163%. Among them 15 cases had cesarean section(50.0% ), 7 cases complicated with postpartum hemorrhage (23. 33 % ), 7 babies were found small-for-gestational (23. 33 % ), 6 neonates suffered from neonatal asphyxia (20. 0 % ) , Perinatal fetal mortality was 16. 67% (5/30 cases). Clinical analysis showed that placental abruption should be suspected in cases with abnormality fetal heart rate of unknown, abdominal pain, waist pain, vaginal hemorrhage and hypertonic uterus contraction. B-ultrasound examination can make clear the diagnosis. Close observation and prompt treatment can reduce the mortality of the mothers and babies.