妊娠高血压综合征合并胎盘早剥的妊娠结局

The Pregnancy Outcome of the Pregnancy - induced Hypertension Syndrome with Placental Abruption

目的探讨妊娠高血压综合征合并胎盘早剥的妊娠结局。方法回顾性分析18例妊高征合并胎盘早剥的诊断处理及母儿预后。结果妊高征合并胎盘早剥孕产妇死亡1例，死亡率5．5％，子宫切除1例（5．5％），子宫卒中3例（16．6％），产后出血4例（22．2％），而妊高征合并胎盘早剥围生儿死亡率高达38．8％。结论妊高征并发胎盘早剥，孕妇及胎儿预后与诊断的迟早，处理是否及时密切相关。一旦确诊，在改善患者一般情况时，应立即终止妊娠。早期诊断及时处理是减少妊高征胎盘早剥并发症的关键。

Objective To discuss the pregnancy outcome of the pregnancy - induced hypertension syndrome with placental abruption. Methods The diagnosis and treatment data of 18 cases of pregnancy - induced hypertension with placental abruption and prognosis of mother and infant were analyzed retrospectively. Results One case of PIH with placental abruption died,the mortality rate was 5： 5%. One case of hysterectomy （5.5%） ,3 cases of uterine stroke （ 16. 6% ）, 4 cases of postpartum hemorrhage （22. 2% ）, and pregnancy - induced hypertension with placental abruption perinatal mortality as high as 38. 8%. Conclusion Pregnancy - induced hypertension with placental abruption, and the prognosis of pregnant women and fetal is closely related to the diagnosis and the timely handling sooner or later. Once diagnosed, patients with the general improvement in the situation, should immediately terminate the pregnancy. Early diagnosis and treatment is a important key to reduce the timely processing of the complications of pregnancy - induced hypertension syndrome with placental abruption.