胎盘早剥30例临床分析

Clinic analysis of 30 cases of separation of placenta

目的 分析胎盘早剥的发病原因,临床表现及其母婴并发症,探讨胎盘早剥的诊断和处理要点。方法对我院2000年1月至2002年12月底住院分娩的胎盘早剥患者30例进行回顾性分析。结果 胎盘早剥的发生率0.42％(30/7207)。产前确诊率63.3％,有明显诱因的占57％,原因不明的占43％,表现为持续性腰腹胀痛伴强直性子宫者占43.3％;表现为间歇性腰腹痛伴阴道流血者占36.7％;胎动消失占23.3％;产前阴道流血和血性羊水者各占10％。结论 持续性腰腹痛伴强直子宫,以及间歇性腰腹痛伴阴道流血、胎动消失伴腹痛是胎盘早剥最重要的临床表现;综合分析诱因,尤其重视临床表现,适当结合B超等辅助检查,对胎盘早剥作出早期诊断并妥善处理,对改善母婴结局至关重要。

Objective To analyze the predisposing factors and clinical appearance and complications of mother and infant of separation of placenta.and investigate the diagnosis and treatment. Methods Clinical data of 30 cases of patients in hospi-tal from jan. 2000 to dec. 2002 with separation of placenta were analyzed retrospectively. Results The incidence rate of separation of placenta was 0.42 % , the ante - partum confinned diagnosis rate 63.3 % , the phanerogentic 57 % , the unknow cause 43% .persistent abdominal pain and lumbago with tetanic contraction of uterus 43.3% ,clonic lumbago with colpor-ragia 36.7% ,fetal movement 23.3% ,pre -partus colporragia and bloody amniotic fluid 10%.Conclusions Persistent and abdominal pain and lumbago with tetanic contraction of uterus, and intermittent lumbago with colporragia and fetal movement with abdominal pain were the most important clinical appearances. Early diagnosis and treatment of separation of placenta was very important for improving mother and infant's finale according to systhesized analvsis of predisposing factors and emphasis to clinical apperances and appropriately combining to B ultrasound.