胎盘早剥23例临床研究

Clinical analysis of 23 patients with placental abruption

目的:通过对23例胎盘早剥的临床分析,探讨胎盘早剥早期诊断和积极处理的重要性。方法:将23例胎盘早剥按发病诱因、症状、体征、超声结果、母婴结局进行探讨。结果:胎盘早剥发生率为0.488%,其中妊娠期高血压5例,外伤、咳嗽及性生活引起4例,原因不明12例,围产儿死亡率为0.17%,腹痛及阴道流血为主要症状。结论:胎盘早剥对母儿生命威胁很大,早期诊断非常重要。并发症主要有产后出血、子宫胎盘卒中等,一旦确诊,必须立即终止妊娠。

Objective To investigate the importance of early diagnosis and active treatment of placental abruption through clinical analysis of 23 cases. Method The cause, symptom, sign, results of ultrasonic inspection, and results of mother and infant were analyzed in 23 cases. Results The rate of placental abruption was 0. 488%, and the case for hypertension disorder complicating pregnancy was 5, the case for trauma, cough and sexual act was 4, the case for else which couldn＇t be explained was 12. The death rate of prenatal fetus was 0. 17%. The typical symptoms were lower abdomen pain and vagina bleeding. Conclusion Placental abruption is dangerous for pregnant woman and infant, and an early diagnosis is very important. The main complications are postpartum hemorrhage and uteroplaeental apoplexy, etc. The gestation should be terminated immediately when it is diagnosed.