摘要
目的:回顾性分析不同分型妊娠晚期胎盘早剥的首发临床征象、发病相关因素及围产结局差异。方法:2009年1月-2013年12月收治妊娠晚期胎盘早剥患者81例,其中重型组43例为A组,轻型组38例为B组,观察并比较两组患者的首发临床征象、发病相关因素及围产结局差异。结果:A组首发临床征象腹痛22例(52.2%),阴道出血4例(9.3%),宫缩频繁11例(25.6%),胎心异常13例(30.2%);B组首发临床征象腹痛3例(7.9%),阴道出血27例(71.1%),宫缩频繁7例(18.4%),胎心异常11例(28.9%);两组患者首发临床征象比较差异有统计学意义(P<0.05);A组发病相关因素主要为妊娠期高血压疾病,B发病相关因素主要为脐带过短和缠绕;A组围产儿死亡9例(20.9%),新生儿窒息21例(48.8%),产后出血13例(30.2%),B组围产儿死亡0例,新生儿窒息7例(18.4%),产后出血3例(7.9%),两组患者围产结局比较差异有统计学意义(P<0.05)。结论:不同分型的妊娠晚期胎盘早剥的首发临床征象、发病相关因素及围产结局存在明显差异,值得在临床上加以分辨鉴别。
Objective:To retrospective analyze the difference of the initial clinical signs,onset of related factors and perinatal outcome between different types of late pregnancy placental abruption.Methods:81 cases with late pregnancy placental abruption were selected from January 2009 to December 2013.43 case were moderate to severe as A group,and 38 cases were light as B group.The initial clinical signs,onset of related factors and perinatal outcome of the two groups were observed and compared.Results:In the initial clinical signs of A group,22 cases(52.2%) were abdominal pain,4 cases(9.3%)were vaginal bleeding,11cases(25.6%) were frequently uterine contraction,and 13 cases(30.2%) were abnormal fetal heart rate.In the initial clinical signs of B group,3 cases(7.9%) were abdominal pain,27 cases(71.1%) were vaginal bleeding,7 cases(18.4%) were frequently uterine contraction,11 cases(28.9%) were abnormal fetal heart rate.The difference of the initial clinical signs between the two groups was statistically significant(P<0.05).The onset of related factor of A group was hypertensive disorder complicating pregnancy,the onset of related factor of B group was too short and winding umbilical cord.In A group,9 cases(20.9%) were perinatal death,21cases(48.8%) were neonatal asphyxia,13 cases(30.2%) were postpartum hemorrhage.In B group,0 case was perinatal death,7cases(18.4%) were neonatal asphyxia,3 cases(7.9%)were postpartum hemorrhage.The difference of perinatal outcome of patients between the two groups was statistically significant(P<0.05).Conclusion:The initial clinical signs, onset of related factors and perinatal outcome between different types of late pregnancy placental abruption have visible difference.It should be distinguish and identify in clinical.
关键词
重型妊娠晚期胎盘早剥
轻型妊娠晚期胎盘早剥
回顾性分析
Severe late pregnancy placental abruption
Light late pregnancy placental abruption
Retrospective analysis