38例胎盘早剥的临床分析

Clinical analysis of 38 cases of premature separation of placenta

目的探讨胎盘早剥的病因、诊断及处理。方法对38例胎盘早剥进行回顾性分析,分别记录各组病因,临床症状及体征,分娩方式,产后出血量,病死率。结论本组病例平均失血量392.50毫升,20例出现失血性休克,输血24例,占63.15%;围产儿死亡率28.94%。结果对胎盘早剥,要注意早期识别,动态观察,重视患者主诉,加强胎儿监测,及时诊断处理,降低母儿围产期病死率。

Objective To elucidate the etiology, diagnosis and treatment of premature separation of placenta. Methods Thirty-eight cases of premature separation of placenta were analysed retrospectively in terms of the etiology, clinical symptoms and signs, delivery modalities, postpartum bleeding amount, and fatalities. Results The average blood loss was 392. 50 ml. Hemorrhagic shock occurred in 20 cases. Blood transfusion was administrated in 24 cases （63. 15%）. Newborn death rate was 28. 94%. Conclusion Early recognization and continual observation on the premature separation of placenta, closely monitoring on the foetus, and timely diagnosis and management are all essential to reduce maternity and newborn fatalities.