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目的分析子痫前期并发胎盘早剥的诊断方法,并对其早期处理以及预后进行探讨。方法取我院收治的子痫前期并发胎盘早剥者40例为本次研究观察组,取同期未出现胎盘早剥的40例子痫前期女性为对照组,对二组临床资料展开回顾性分析,并就胎儿窘迫、胎死宫中、母体凝血功能障碍、失血性休克、新生儿窒息以及子宫切除等各类并发症情况进行组间对比。结果经统计学分析发现,观察组各类并发症发生几率明显高于对照组,组间差异有统计学意义;且观察组中,发生胎盘早剥后在8h内完成分娩者在凝血功能障碍、产后出血量、死胎以及新生儿窒息率等方面更优于未在8h内完成分娩者,差异具有统计学意义。结论在导致胎盘早剥的各类危险因素中,子痫前期是其中的一种高危因素;而在子痫前期,胎盘早剥则是重要的并发症,临床要想改善母婴结局,早期预防胎盘早剥、及时诊断和处理是关键。
Objective To analyze the diagnostic method of preeclampsia complicated with placental abruption, and to discuss its early treatment and prognosis. Methods Forty cases of preeclampsia with placental abruption treated in our hospital were selected as the observation group and 40 cases of preeclampsia women without placental abruption in the same period were taken as the control group. The clinical data of the two groups were retrospectively analyzed. The comparisons between groups were made on various complications such as fetal distress, fetal death, maternal coagulation disorders, hemorrhagic shock, neonatal asphyxia and hysterectomy. Results The statistical analysis found that the incidence of various complications in the observation group was significantly higher than that in the control group, the difference between the groups was statistically significant; and in the observation group, the occurrence of coagulation dysfunction, Postpartum hemorrhage, stillbirth and neonatal asphyxia rate and other aspects are better than those who did not deliver within 8h, the difference was statistically significant. Conclusion Among the various risk factors that cause placental abruption, preeclampsia is one of the risk factors. In preeclampsia, placental abruption is an important complication. To improve the maternal and infant outcome, early prevention Placental abruption, timely diagnosis and treatment is the key.