胎盘早剥52例临床分析

Clinical analysis of placental abruption

目的：提高对妊娠晚期胎盘早剥的预防、早期诊断及积极治疗。方法：回顾性研究2003年1月～2007年10月52例妊娠晚期胎盘早剥的病例，分析其发病原因、症状、体征、分娩方式、母婴结局及早期识别。结果：妊娠晚期胎盘早剥的手术率为80．76％。产后出血、死胎、死产、新生儿窒息的发病率均高于同期住院分娩的发病率。结论：胎盘早剥对母婴生命威胁大，应加强预防，及时诊断及正确治疗可改善母婴预后。

Objective： To determine the prevention, early diagnosis and aggressive treatment of placental abruption in third trimester. Methods： Causes, symptoms and signs, early diagnosis, delivery methods, maternal and child outcome of 52 pregnant women with placental abruption in third trimester from January 2003 to October 2007 were studied retrospectively. Results： Surgical management for placental abruption of late pregnancy was 80. 76%. Incidences of postpartum hemorrhage, fetal death, stillbirth, neonatal asphyxia were all higher than those delivered in the hospital without placental abruption in the same period. Conclusion： Placental abruption has striking life -threatening to mother and infant. Strengthening prevention, timely diagnosis and proper treatment may improve the prognosis of pregnant women and infants.