胎盘早剥与围产儿预后的临床研究

Explore the Early Diagnosis of Placental Abruption, Predisposing Factors and Clinical Characteristics

目的：探索胎盘早剥的早期诊断，发病诱因和临床特点，分娩方式，胎盘剥离面积等，从而改善妊娠结局与围产儿预后。方法：回顾性分析本院收治的18例胎盘早剥患者的临床资料，分析和病情观察及对母婴预后的影响。结果：引发胎盘早剥的病因是妊娠高血压疾病，前次妊娠胎盘早剥史，脐带过短，外伤，横位等重要因素，胎盘早剥导致产后出血，围产儿死亡高。结论：及早诊断、及时采取有效的预防及治疗措施，可有效降低母婴围产期的死亡率。

Objective： To explore the early diagnosis of placental abruption, predisposing factors and clinical characteristics, mode of delivery, placental abruption area, so as to improve the outcome of pregnancy and perinatal prognosis. Methods： Retrospective analysis of the clinical data of 18 cases of placental abruption in patients admitted to our hospital, analysis and observation of disease and the effects on maternal and neonatal outcomes. Results： The etiology of placental abruption is caused by pregnancy induced hypertension, previous pregnancy history of placental abruption, umbilical cord is too short, trauma, an important factor in transverse position, placental abrup- tion, postpartum hemorrhage due to high, perinatal death. Conclusion： early diagnosis, timely take effective measures of prevention and treatment, which can effectively reduce the maternal perinatal mortality.