胎盘早剥产妇所生新生儿的临床资料回顾分析

Retrospective Analysis of Clinical Data about the Newborn Given Birth by Placental Abruption Mothers

[目的]探讨和强调胎盘早剥产妇所生新生儿的临床病理特征和危险性。[方法]回顾对照分析1994年7月至1998年6月本科收治的141例胎盘早剥产妇所生新生儿的临床资料。[结果]胎盘早剥所生新生儿中早产儿为94.32％，低出生体重儿为80.85％，窒息儿为79.43％；入院时HIE为63.12％，颅内出血为31.91％，心肌损害为56．03％，心力衰竭为41.84％，休克为56.74％，贫血为61.70％，DIC为82.98％，酸中毒为65.96％，硬肿症为64.54％，RDS为50.35％，呼吸暂停为51.06％。其中，除硬肿症外的上述所有病症检出率在重型胎盘早剥产妇所生新生儿组显著高于轻型组。[结论]提示成熟度低、缺血缺氧、失血和凝血功能障碍为胎盘早剥产妇所生新生儿的临床病理特征，严重威胁新生儿生命安全，建议应将胎盘早剥产妇所生新生儿单列为病因诊断，突出强调以引起临床产、儿科医师高度重视。

[Objective]Study and emphasis the clinic pathological character and its dangerousness of the newborn given birth by placental abruption mothers (NPAM). [Methods] We review and analysis of clinical data about 141NPAMs in our department during July 1994 to June 1998. [Results] NPAMs suffer from a lot of symptoms, including premature(94. 32%), low birth weight (80. 85%), asphyxia (79. 43%), HIE (63. 12%), intracranial hemorrhage (31.91%), myocardial lesion (56. 03%), heart failure (41. 84%), shock (56. 74%), anemia(61. 70%), DIC(82. 98%), acidosis (65. 96%), sclerodema(64. 54%), RDS(50. 35%), apnea(51. 06), and higher(except of sclerodema) in NPAMs of severe placental abruption mother than in light ones. [Conclusions] The maiuly clinical pathoogical character of NPAMs are low maturity, ischimia, hypoxia, anemia and coagulation disorder, these symptoms make the newborn in a dangerous situation.We nominate NPAM as an independent disease so that the pediatrics and obstetric doctors will pay more attention to it.