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目的探讨胎盘早剥的早期诊断,积极处理的重要性,寻找胎盘早剥的防治措施。方法对本院1998年1月至2007年12月147例胎盘早剥的发病诱因、症状、体征、分娩方式、并发症、母婴结局进行分析。结果胎盘早剥发生率为0.578%,重型胎盘发生率为0.27%,发病诱因以妊娠高血压疾病为首位占45.6%,外伤及性生活占19.%,原因不明占27.9%,以持续性腹痛及阴道出血为典型临床表现,剖宫产115例,占78.2%,阴道分娩34例,占21.8%,子宫切除术9例,无孕产妇死亡,新生儿死亡率44%。结论胎盘早剥对母婴生命威胁大,易出现产后出血,子宫胎盘卒中,弥漫性血管内凝血(DIC),急性肾功能衰竭等并发症,早期诊断、积极处理非常重要,确诊后应尽早终止妊娠。
Objective To explore the early diagnosis of placental abruption, the importance of active treatment, looking for prevention and treatment of placental abruption. Methods From January 1998 to December 2007,147 cases of placental abruption incidence of incentives, symptoms, signs, mode of delivery, complications, maternal and infant outcomes were analyzed. Results The incidence of placental abruption was 0.578%, and the incidence of severe placenta was 0.27%. The predisposing factors included 45.6% of the patients with hypertensive disorder of pregnancy, 19.% of the traumatic and sexual life, 27.9% of the unexplained causes, persistent abdominal pain And vaginal bleeding as a typical clinical manifestations, cesarean section in 115 cases, accounting for 78.2%, 34 cases of vaginal delivery, accounting for 21.8%, hysterectomy in 9 cases, no maternal deaths, neonatal mortality rate of 44%. Conclusion Placental abruption poses a serious threat to maternal and infant life. It is easy to have postpartum hemorrhage, uterine placental stroke, diffuse intravascular coagulation (DIC), acute renal failure and other complications. Early diagnosis and active treatment are very important and should be terminated as soon as possible after diagnosis Pregnancy.