胎盘早剥并发子宫胎盘卒中的临床诊断方法和治疗探讨

Study on Clinical Diagnosis Method and Treatment of Placental Abruption and Uteroplacental Apoplexy

目的探讨分析胎盘早剥并发子宫胎盘卒中的临床诊断方法和治疗。方法选取该院2014年2月—2017年2月间接诊的胎盘早剥患者作为该次研究的对象,30例未发生子宫胎盘卒中的为A组,30例发生子宫胎盘卒中的为B组,对A、B两组的临床资料进行回顾性分析,对两组的临床诊断及治疗方法进行对比分析。结果 B组患者中因子痫前期诱发胎盘早剥者12例,占比40.00%;机械性因素为8例,占比26.67%。明显高于A组的5例(16.67%)和4例(13.33%)。A组患者重型胎盘早剥8例,占比26.67%;B组患者产后大出血、弥漫性血管内凝血(DIC)等并发症的发生率及分娩结局中新生儿窒息、围生儿死亡等发生率明显高于A组(P<0.05);B组患者重型胎盘早剥23例,占比76.67%;B组患者胎盘早剥的严重程度明显高于A组(P<0.05)。结论胎盘早剥极易诱发子宫胎盘卒中,对于分娩过程及妊娠结局构成严重威胁,及早诊断及有效治疗具有非常重要的作用和意义。

Objective To study and analyze the clinical diagnosis method and treatment of placental abruption and uteroplacental apoplexy.Methods 60 cases of patients with placental abruption diagnosed in our hospital from February 2014 to February 2017 were selected as the research objects and divided into two groups with 30 cases in each,the group A were the patients without uteroplacental apoplexy,while the group B were the patients with uteroplacental apoplexy,and the clinical data were reviewed and the clinical diagnosis and treatment method of the two groups were compared and analyzed.Results In the group B,there were 12 cases with placental abruption caused by the preeclampsia,accounting for 40.00%and 8 cases with mechanical factor,accounting for 26.67%,which were obviously higher than those in the group A[5 cases,16.67%vs 4 cases,13.33%],in the group a,there were 8 cases with severe placental abruption,accounting for 26.67%,and the incidence rate of complications such as postpartum massive hemorrhage and disseminated intravascular coagulation and incidence rates of neonatal asphyxia and perinatal death in the delivery outcome were obviously higher than those in the group A(P<0.05);in the group B,there were 23 cases with severe placental abruption,accounting for 76.67%,and the severity of placental abruption in the group B was obviously higher than that in the group A(P<0.05).Conclusion Placental abruption is easy to cause the uteroplacental apoplexy,which poses a serious threat to the delivery course and pregnant outcome,and the early diagnosis and effective treatment are of very important significance.