不同孕周胎盘早剥诊治临床分析

Different Gestational Weeks Clinical Analysis of Placental Abruption Diagnosis and Treatment

目的分析并研究不同孕周胎盘早剥的临床特点,研究母婴预后的应对措施。方法选取我院在2012年6月到2014年6月所收治的82例胎盘早剥的病理作为研究对象,分析所有病例胎盘早剥的发病原因,总结有效的母婴预后方法。结果孕周≥34周的病例发生胎盘早剥的概率明显大于孕周<34周的病例,但是孕周<34周的病例,对围生儿进行预后效果更差。差异显著,P<0.05,具有统计学意义;此外各个孕周出现胎盘早剥的病例都出现了不同程度的血管内凝血和产后出血,也有个别急性肾功能衰竭的病例,但差异不显著,P>0.05,不具有统计学意义。结论虽然孕周在34周以上的病例出现胎盘早剥的更多,但是孕周在34周以下的病例出现胎盘早剥的情况却更为严重,有相当高的围生儿窒息和死亡率,所以一旦确诊,为了更好地抢救新生儿,最好采用剖宫产的方式分娩。

Objective To analyze the clinical features and study the different gestational weeks of placental abruption,study on perinatal outcome measures. Methods 82 cases of placental pathology in our hospital of abruption as the research object,analyze the cause of the disease in al cases of placental abruption,summarize the effective methods of maternal and infant prognosis. Results Gestational age over 34 weeks in case the probability of occurrence of placental abruption is significantly greater than the gestational age 〈 34 weeks of cases,but the gestational age 〈 34 weeks of cases, perinatal prognosis worse effect. Conclusion Although the pregnant weeks in 34 weeks or more cases of placental abruption more weeks of gestation, but in the 34 week of the fol owing cases of placental abruption in the situation is more serious,have high perinatal asphyxia and mortality,so once diagnose,in order to rescue newborn,the most good use of cesarean section mode of delivery.