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胎盘早期剥离是妊娠晚期严重合并症,常危及母子生命。我院自1954～1981年共收治150例,发生率为0.24％。产母死亡2例,死亡率为1.33％。围产儿死亡率为35.94％。胎盘早剥与妊娠中毒症、慢生高血压、肾脏病、外伤、脐带过短、宫内压骤降、多胎妊娠等有关。胎盘早剥常引起产后出血、继发性贫血、子宫卒中、DIC、急性肾功能衰竭、感染等并发症。早期诊断、迅带处理是降低孕产妇和胎婴儿并发症和死亡率的关键。治疗应是抗休克、足量输血,检查并纠正凝血因子缺乏,慎防DIC,迅速结束分娩,预防感染,治疗合并症。
Early placental dissection is a serious complication of late pregnancy, often endangering mother and child life. Our hospital since 1954 ~ 1981 were treated 150 cases, the incidence was 0.24%. Mother died in 2 cases, the mortality rate was 1.33%. Perinatal mortality was 35.94%. Placental abruption and gestosis, chronic hypertension, kidney disease, trauma, umbilical cord is too short, sudden drop in intrauterine pressure, multiple pregnancy and so on. Placental abruption often causes postpartum hemorrhage, secondary anemia, uterine stroke, DIC, acute renal failure, infection and other complications. Early diagnosis, rapid treatment is to reduce the maternal and fetal infant complications and mortality key. Treatment should be anti-shock, adequate blood transfusions, check and correct the lack of coagulation factors, beware of DIC, the rapid end of childbirth, prevention of infection, the treatment of complications.