早期诊断胎盘早剥的临床分析

Clinical analysis of early diagnosis for placental abruption

目的:探讨早期诊断应用于胎盘早剥的临床价值。方法:2009年3月-2014年3月收治胎盘早剥患者32例,给予早期诊断,根据患者的情况选择不同的治疗方式,观察孕妇以及新生儿妊娠结局。结果:75.0%的患者选择剖宫产,12.5%的患者选择阴道分娩,9.4%的患者选择产钳术,3.1%的患者选择臀位助产。32例产妇均无死亡。37.5%发生子宫卒中,9.4%发生DIC,31.3%发生产后出血。21.9%发生新生儿窒息,3.1%发生新生儿死亡,37.5%为死胎。新生儿死亡和死胎均发生于Ⅲ度患者。结论:早期诊断应用于胎盘早剥的临床诊疗中能够及时发现病症,可降低胎盘早剥的发生。一旦发现胎盘早剥应尽快给予相应治疗,孕妇和新生儿的妊娠结局较好。

Objective:To explore the clinical value of early diagnosis applied for placental abruption.Methods:32 cases of patients with placental abruption from March 2009 to March 2014 were given early diagnosis and different treatment according to the situation of the patients.The pregnancy outcome of pregnant women and newborn were observed.Results:75.0% of the patients chose cesarean section,12.5% of the patients chose the vaginal delivery,9.4% of the patients chose forceps and 3.1% of the patients chose breech birth.32 cases had no maternal death.37.5% had uterine apoplexy,37.5% had DIC,31.3% had postpartum hemorrhage.21.9% had newborn asphyxia,3.1% had neonatal death,37.5% had stillbirth.Stillbirth and neonatal death occurred inⅢ degree of patients.Conclusion:Early diagnosis applied to the clinical diagnosis and treatment of placental abruption could timely found condition and reduce the occurrence of placental abruption.Corresponding treatment of placental abruption were given as soon as possible and the pregnancy outcomes of pregnant women and newborn was better.