66例胎盘早剥的临床分析

Clinical Analysis of 66 Cases of Placental Abruption

目的对66例胎盘早剥产妇进行临床分析。方法选取胎盘早剥产妇66例,分析其发病诱因、临床表现、超声检查以及妊娠结果。结果妊娠期高血压是诱发胎盘早剥的主要原因,占27.27%;超声检查的阳性检出率为30.3%,重型胎盘早剥的超声检出率、产儿死亡与窒息均高于轻型(P<0.05)。结论加强产前检查,发现高危因素,积极给予预防,从而有效降低胎盘早剥的发病率,减少产妇的并发症及围产儿发病率和死亡率,保证母婴的健康。

Objective To analyze 66 parturient women with placental abruption in clinic. Methods A total of 66 parturient women with placental abruption were selected to analyze their predisposing causes,clinical manifestations,ultrasonic examinations and pregnancy outcomes. Results Pregnancy-induced hypertension was the main cause of placental abruption, accounting for 27.27%. The positive detection rate of ultrasonic examinations was 30.3%,and the ultrasonic detection rate,perinatal mortality and asphyxia rate of parturient women with severe placental abruption were higher than those with mild placental abruption（P〈0.05）. Conclusion Strengthening antenatal examinations,monitoring high-risk factors and active treatments can effectively reduce the incidence of placental abruption,maternal complications and perinatal morbidity and mortality,and thereby ensuring the health of mothers and infants.