胎盘早期剥离119例临床分析

Clinical Analysis of 119 Cases of Placental Abruption

对119例胎盘早期剥离进行回顾性分析。结果提示妊娠高血压综合征是其最常见的诱因,患者易并发产后出血、子宫胎盘卒中、各种感染、死胎,死产、新生儿死亡、早产,与同期正常产妇比较,差异有极显著性意义(P<0.01)。提高早期诊断率、及时补足血容量、迅速结束分娩、及时诊治并发症是抢救的关键。

A retrospective analysis was performed on 119 cases of placental abruption. The results showed that pregnancy-induced hypertension was the most common predisposing factor. The incidence of postpartum hemorrhage, uteroplacen-tal apoplexy, various infections, fetal death, stillbirth, neonatal death and premature birth was higher than in normal pregnancy at the same period (P<0.01). The best possible emergency mtasures were increase of early diagnosis rate, replacement of the lost blood volume as rapidly as possble, prompt delivery, and tiemly diagnosis and treatment of complications.