胎盘早剥42例临床分析

The Clinical Analysis of 42 Cases of Placental Abruption

目的探析胎盘早剥的临床特征及处理情况。方法入选该院胎盘早剥产妇42例,对其临床资料进行回顾性分析。结果胎盘早剥42例中顺产16例,剖宫产26例;27例早剥I度,2例产后出血;11例早剥II度,4例产后出血;4例III度早剥,全部产后出血,1例出现弥散性血管内凝血予以子宫切除术。胎盘早剥42例孕妇,均为单胎,导致新生儿窒息16例(38.1%),死胎2例(4.8%),胎盘早剥分度引发的新生儿窒息情况,结果差异有统计学意义(P<0.05)。结论应对胎盘早剥的临床特征及诱因予以重视,定期进行辅助检查,早期诊治胎盘早剥。

Objective To explore the clinical features and treatment of placental abruption. Methods 42 cases of puerperants with placental abruption admitted in our hospital were selected, and the clinical data of them were taken for retrospectively analysis. Results Of the 42 cases of puerperants with placental abruption, there were 16 cases of normal childbirth, 26 cases of cesarean section; 27 cases of abruption I degree, and 2 cases of postpartum hemorrhage; 11 cases of early stripping II degree, and 4 cases of postpartum hemorrhage; 4 cases of early stripping III degree, and all with postpartum bleeding, 1 case had disseminated inravascular coagulation and was treated with hysterectomy. Of the 42 cases of puerperants with placental abruption, all were single births, there were 16 cases of asphyxia neonatorum（38.1%）, 2 cases of stillbirth（4.8%）; the result of placental abruption caused by asphyxia neonatorum had statistical difference（P〈0.05）. Conclusion The clinical characteristics and inducement of placental abruption should be attached importance, and accessory examination should be conducted regularly and placental abruption should be diagnosed and treated early.