论文部分内容阅读
目的探讨子宫胎盘卒中的危险因素、母婴结局及临床处理。方法对日照市中医医院近6年来行剖宫产的51例胎盘早剥患者的临床资料进行分析,并对有子宫卒中的20例(观察组)和无子宫卒中的31例(对照组)患者的特点进行比较。结果胎盘早剥产妇中子宫胎盘卒中的发生率为36.36%(20/51),20例子宫卒中患者中产后出血9例,DIC 3例,1例行子宫次全切除,其余成功保留了子宫。观察组与对照组诱因以子痫前期为首位,其次为胎膜早破。观察组死胎发生率明显高于对照组(P<0.01)。结论重视胎盘早剥的诱因,做好孕期保健,提高对胎盘早剥的早期诊断是防止子宫卒中和改善母婴结局的关键,子宫卒中不是子宫切除的指征,应尽可能保留子宫,以提高产妇的生活质量。
Objective To investigate the risk factors of uterine placental stroke, maternal and infant outcomes and clinical management. Methods The clinical data of 51 patients with placental abruption who underwent cesarean section in Rizhao TCM Hospital in the past 6 years were analyzed. Twenty patients (observation group) with uterine stroke and 31 patients without uterine stroke (control group) The characteristics of comparison. Results The incidence rate of placenta accreta was 36.36% (20/51) in maternal women with placental abruption. Among the 20 patients with uterine stroke, 9 were postpartum hemorrhage, 3 were DIC, 1 was subtotal hysterectomy, and the rest retained the uterus. The predisposing factors of observation group and control group were preeclampsia, followed by premature rupture of membranes. The incidence of stillbirth in observation group was significantly higher than that in control group (P <0.01). Conclusion Emphasis on the causes of placental abruption, do a good job during pregnancy care, improve the early diagnosis of placental abruption is the key to prevent uterine stroke and improve maternal and infant outcomes, uterine stroke is not an indication of hysterectomy, the uterus should be retained as much as possible to improve The quality of life of mothers.