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目的探讨胎盘早剥、前置胎盘新生儿合并症及预后的相关因素。方法回顾性对照分析128例胎盘早剥和255例前置胎盘新生儿的临床资料。结果胎盘早剥新生儿病死率为16.41%,前置胎盘新生儿病死率为4.37%。胎盘早剥、前置胎盘产前出血量≥400 ml和<400 ml者早产、低出生体重发生率无显著差异;窒息、缺氧缺血性损害、失血、凝血功能障碍的发生率及新生儿病死人数有极显著差异,P<0.005。结论胎盘早剥和前置胎盘产前大出血易导致新生儿发生窒息、缺氧缺血性损害、失血、凝血功能障碍及死亡。胎盘早剥新生儿病情更复杂、更严重。及早诊断胎盘早剥与前置胎盘孕妇,减少产前出血量,是减少胎盘早剥和前置胎盘新生儿合并症,改善预后的关键。
Objective To investigate the related factors of placental abruption, placenta previa newborn complications and prognosis. Methods Retrospective analysis of 128 cases of placental abruption and 255 cases of placenta previa newborn clinical data. Results The neonatal mortality rate of placental abruption was 16.41%, and the placenta previa neonatal mortality rate was 4.37%. Placental abruption, placenta previa bleeding ≥ 400 ml and <400 ml of preterm birth, low birth weight no significant difference in rates; asphyxia, hypoxic-ischemic damage, blood loss, coagulation disorders and the incidence of neonatal There was a significant difference in the number of deaths, P <0.005. Conclusion Prenatal placental abruption and prenatal bleeding easily lead to neonatal asphyxia, hypoxic ischemic damage, blood loss, coagulation disorders and death. Neonatal placental abruption is more complicated and serious. Early diagnosis of placental abruption and placenta previa, reducing the amount of prenatal bleeding is to reduce placental abruption and placenta previa complications, improve the prognosis of the key.