摘要
目的:了解胎盘早剥的临床特点,探讨胎盘早剥的病因和早期诊断和处理。方法:回顾性分析2003年1月至2011年3月我院分娩产妇中发生胎盘早剥98例的临床资料,其中I度51例,II度26例,III度21例。结果:胎盘早剥发生率为0.53%。主要临床表现为持续性或间歇性腰腹痛、阴道流血、血性羊水、胎动异常等。病因依次为妊娠期高血压疾病、胎膜早破、脐带因素、机械因素、羊水过多、双胎、子宫畸形、不明原因等。母婴结局:98例孕产妇中经阴道分娩38例,剖宫产60例。孕产妇死亡2例,死亡率为2.04%;围生儿死亡17例,病死率为16.60%;产后出血16例,占15.31%;合并弥漫性血管内凝血(DIC)9例,占9.20%;出现子宫卒中10例,占10.20%;子宫次全切除2例,占2.04%。结论:胎盘早剥是妊娠晚期的严重并发症,重视胎盘早剥的诱因,临床表现,结合B超等辅助检查,做到早期诊断、及时处理,才能降低孕产妇死亡率及围生儿病死率。
Objective： Understand the clinical characteristics of placental abruption and discuss the cause, the early prenetal diagnosis and management ofplacetal abruption. Methods： 98 patients with placental abruption were reviewed from Janurary 2003 to March 2011,and Which Ⅰ degrees 51 cases, Ⅱ degrees 26 cases and Ⅲ degrees 21 cases. Results： The incidence of placental abruption is 0.53%. Major clinical manifestations are a persistent or intermittent waist abdominal pain, vaginal bleeding, hemorrhagic amniotic fluid and quickened unusual etc. The causes of placental abruption are pregnancy hypertension disease, tire premature rupture of membrane, umbilical cord factors, mechanical factors, hydramnios and double tyres, uterine deformity, unexplained, etc. There were 38 cases of delivery through vagina and 60 cases of cesarean section in 98 pregnant women. There were death 2 cases （2.04%） of 98 pregnant women and 17 cases （16.60%）of 98 Perinatal Infant. There were 16 cases（15.31%） of postpartum hemorrhage,9 cases（9.20%） of disseminated intravas- cular coagulation, 10 cases （10.20 %） of unterine stroke, 2 cases of Uterine subtotal resection （2.04%）. Conclusion： Pay attention to the cause of Abruption triggers, clinical manifestation and do early diagnosis, prompt processing,and treatment of placental abruption can effectively cut down the damage to mothers and infants.
出处
《现代生物医学进展》
CAS
2011年第17期3315-3317,共3页
Progress in Modern Biomedicine
关键词
胎盘早剥
诊断
治疗
Placetal abruption
Diagnosis
Treatment
