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目的:探讨妊娠期高血压疾病以及胎盘早剥切除子宫的关系。方法:手术终止。结果:胎盘早剥是妊娠晚期严重并发症,具有起病急、发展快的特点,若处理不及时可危及母儿生命。胎盘早剥发病率0.46%～2.1%。结论:必须在迅速终止妊娠、阻断促凝物质继续进入母血循环的基础上,纠正凝血功能障碍:补充凝血因子,及时、足量输入新鲜血及血小板,是补充血容量和凝血因子的有效措施,同时纤维蛋白原更佳;DIC高凝阶段主张及早应用肝素,禁止在有显著出血倾向或纤溶亢进阶段应用肝素;应在肝素化和补充因子的基础上,应用抗纤溶药物。
Objective: To investigate the relationship between hypertensive disorders during pregnancy and excision of uterus by placental abruption. Method: The procedure was terminated. Results: The placental abruption is a serious complication in late pregnancy, with the characteristics of acute onset and rapid development. If the treatment is not timely, it can endanger the mother’s life. The incidence of placental abruption 0.46% ~ 2.1%. Conclusion: It is necessary to promptly terminate the pregnancy, block the procoagulant substances continue to enter the maternal circulation based on the correction of coagulation disorders: blood coagulation factors, timely and adequate input of fresh blood and platelets, blood volume and blood coagulation factor is an effective measure to supplement , While fibrinogen better; DIC hypercoagulable stage advocate the early application of heparin, banned in a significant bleeding tendency or fibrinolytic stage of application of heparin; should be based on heparinization and supplementation factors, the application of anti-fibrinolytic drugs.