胎盘早剥32例临床分析

Clinical Analysis of Early Separation of Placenta 32 cases

目的 通过对胎盘早剥的临床分析 ,探讨早期诊断及治疗方法 ,以降低孕产妇和围产儿死亡率。方法 对我院 2 0 0 1～ 2 0 0 2年元月收治的qd胎盘早剥 32例进行顾性分析。结果 围产儿死亡 1 9例 ,死亡率 5 9.3% ,其中胎死宫内者 1 7例 ,新生儿死亡 2例。孕产妇 32例中 1例并发DIC及凝血功能障碍 ,经及时创救治愈。无孕产妇死亡。结论 胎盘早剥的早期诊断更应注重病史及诱因 ,B超已成为胎盘早剥的重要辅助诊断方法。

Objective through analyzing the early separation of placenta,to explore its early diagnosis and treatment,in order to reduce the mortality of gravida and babies.Method conduct retrospective analysis on 32 cases from 2001.1-2002.Results the babies die 19 cases,(59.3%),among which 17 cases fetus died inside the uterus,newborn died 2 cases.Among 32 cases gravida,I case complicated with DIC and dysfunction of blood coagulation function,healed after timely rescue.No death of gravida.Conclusion disease history and induced factor should be gaid attention in early diagnosis of the disease ultrasound B is an important auxilliary diagnosis method for the disease.Timely ceasing pregnancy can reduce the severe complication of mother and child.