10例胎盘早剥临床分析

Clinical analysis of abruptio placentae in 10 cases.

胎盘早剥是产科最典型的急症之一。目的分析胎盘早剥严重性、并发症、母亲和胎儿的死亡率、诊断、分娩方式。方法我们对10例临床确诊的胎盘早剥病例进行研究。结果胎盘早剥的发病率为1.68%。50%为初产妇。30%合并有妊娠高血压疾病。胎儿死亡率70%。1例产妇死亡。结论胎盘早剥难以预测,起病突然。产妇发病率和胎儿死亡率均高。预防方法仍有待进一步研究。

Objective： This study analyses severity of abruption, resultant morbidity, and maternal and fetal mortality in 10 cases. Study the epidemiological profile of the patient, the circumstances of diagnosis, the modes of delivery. Methods： We present a study about 10 cases of placental abruption. The diagnosis was confirmed in all cases by clinical findings. Results ： The prevalence of placental abruption was about 1.68%. Patients were primiparous in 50% of the cases. Elevated blood pressure was found in 30% of the cases. Fetal death rate was 70%. There was one maternal death among these cases. Conclusion ： This problem remains unpredictable and sudden. Both maternal morbidity and fetal mortality rates remain high. The prevention are discussed.