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目的探讨胎盘早剥分娩新生儿的各项化验指标及胎盘早剥新生儿的临床特征。方法选取48例胎盘早剥新生儿为试验组,62例非胎盘早剥新生儿为对照组,搜集整理两组新生儿的临床特征、并发症发生情况、凝血指标,应用SPSS18.0统计学软件进行分析。结果两组新生儿的男女婴儿比例、出生体重、分娩孕龄、休克指数等差异无统计学意义(P>0.05)。试验组新生儿窒息、缺氧性心肌损害、代谢性酸中毒、贫血、电解质紊乱所占比例显著高于对照组新生儿,差异有统计学意义(P<0.05);试验组新生儿治愈率、出院体重显著低于对照组新生儿,死亡率、住院天数显著高于对照组新生儿,差异有统计学意义(P<0.05),好转率高于对照组新生儿,但差异无统计学意义(P>0.05)。试验组新生儿入院时部分活化凝血酶原时间(ATPP)、凝血酶原时间(PT)、D-二聚体(D-D)显著高于对照组新生儿,纤维蛋白原(FBI)显著低于对照组新生儿,差异有统计学意义(P<0.05);出院前两组新生儿ATPP、PT、D-D、FBI差异无统计学意义(P>0.05)。结论新生儿窒息、缺氧性心肌损害、代谢性酸中毒、贫血、电解质紊乱是胎盘早剥新生儿临床上常见的并发症,为胎盘早剥新生儿的临床特征。
Objective To investigate the clinical indicators of newborn infants with placental abruption and the clinical features of neonatal placental abruption. Methods 48 neonates with placental abruption were selected as experimental group and 62 neonates with non-placental abruption were selected as control group. The clinical features, complications and coagulation indexes of two groups were collected and analyzed. SPSS18.0 statistical software Analyze. Results There was no significant difference in the proportions of newborns, infant birth weight, gestational age at birth, shock index between the two groups (P> 0.05). The proportion of neonatal asphyxia, hypoxic myocardial damage, metabolic acidosis, anemia and electrolyte imbalance in the experimental group was significantly higher than that in the control group (P <0.05). The cure rate, The body weight of the discharged children was significantly lower than that of the control group (P <0.05). The mortality and hospitalization days were significantly higher than those of the control group (P <0.05), but the improvement rate was higher than that of the control group P> 0.05). At the time of admission, the partial prothrombin time (ATPP), prothrombin time (PT) and D-dimer (DD) of newborns in the experimental group were significantly higher than those in the control group. The fibrinogen (FBI) (P <0.05). There was no significant difference in ATPP, PT, DD and FBI between the two groups before discharge (P> 0.05). Conclusion neonatal asphyxia, hypoxic myocardial damage, metabolic acidosis, anemia, electrolyte imbalance is a common complication of neonatal placental abruption, is the clinical features of neonatal placental abruption.