胎盘早剥的临床分析

Clinical Analysis of Pregnancy Patients of Placental Abruption

目的探讨胎盘早剥的高危因素及对妊娠母儿结局的影响。方法回顾2012年1月至2017年5月期间我院住院分娩的231例胎盘早剥的临床资料,分析胎盘早剥的高危因素及母儿结局。结果在231例胎盘早剥患者中妊娠合并高血压病20例;其次为胎膜早破、外伤及脐带过短等。Ⅲ度胎盘早剥组在阴道出血、子宫高张、胎心异常、血性羊水、新生儿窒息、产后出血、胎盘卒中及早产等方面比例明显高于Ⅰ度和Ⅱ度胎盘早剥组(P<0.05)。结论胎盘早剥临床表现复杂,对母婴危害大,应重视诱因,结合辅助检查,做到尽早发现,积极治疗从而改善母婴结局。

Objective To explore the risk factors of placental abruption and the impact on mother son outcome of pregnancy. Methods Retrospectiveanalysis of January 2012 during July 2016 in our hospital clinical data of 231 cases of placental abruption in childbirth, analysis the risk factors of placentalabruption and mother son ending. Results In 231 cases of placental abruption in patients with gestational hypertension disease 20 cases; followed bypremature rupture of membranes, trauma, and umbilical cord are too short. tended to merge pregnancy-induced hypertension disease. The incidence rates ofvaginal bleeding, uterine high, cardiac anomalies, bloody amniotic fluid, asphyxia of newborn, postparbum hemorrhage, placental apoplexy, premature birthin typical, groups of placental abruption were higher than that in Ⅲ placental abruption group（all P 〈0.05）. Conclusions Clinical manifestation of placentalabruption is complex,great damage to the maternal and infant, we should attaché great importance to the cause, combined with the auxiliary examination, findactive treatment so as to improve outcome as early as possible.