中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2013年
28期
39-41
,共3页
胎盘早剥%诊断%处理%预后
胎盤早剝%診斷%處理%預後
태반조박%진단%처리%예후
Placental abruption%Diagnosis%Dispose%Prognosis
目的：分析胎盘早剥的高危因素、临床特点及母婴并发症，探讨妊娠晚期胎盘早剥的预防、误诊原因、早期诊断及正确处理，以降低孕产妇及围生儿的死亡率。方法：对78例胎盘早剥患者的临床资料进行回顾性分析，重型组46例，行剖宫产分娩45例（97.8%）；轻型组32例，剖宫分娩18例（56.3%）。分析发病诱因、临床表现及母儿预后。结果：妊娠期高血压疾病是胎盘早剥的首要高危因素，占48.7%（38/78）。两组年龄、孕周、胎次、产后出血比较差异均无统计学意义（P>0.05）。两组产时出血率、DIC、子宫次全切除、新生儿窒息、死胎率和死亡率差异均无统计学意义（P>0.05）。两组剖宫产率、子宫-胎盘卒中率比较，重型组均大于轻型组，差异有统计学意义（P<0.05）。结论：胎盘早剥的早期诊断应注意病史及临床表现，动态观察病情变化。早期诊断、及时处理、适时终止妊娠，改善母儿预后。
目的：分析胎盤早剝的高危因素、臨床特點及母嬰併髮癥，探討妊娠晚期胎盤早剝的預防、誤診原因、早期診斷及正確處理，以降低孕產婦及圍生兒的死亡率。方法：對78例胎盤早剝患者的臨床資料進行迴顧性分析，重型組46例，行剖宮產分娩45例（97.8%）；輕型組32例，剖宮分娩18例（56.3%）。分析髮病誘因、臨床錶現及母兒預後。結果：妊娠期高血壓疾病是胎盤早剝的首要高危因素，佔48.7%（38/78）。兩組年齡、孕週、胎次、產後齣血比較差異均無統計學意義（P>0.05）。兩組產時齣血率、DIC、子宮次全切除、新生兒窒息、死胎率和死亡率差異均無統計學意義（P>0.05）。兩組剖宮產率、子宮-胎盤卒中率比較，重型組均大于輕型組，差異有統計學意義（P<0.05）。結論：胎盤早剝的早期診斷應註意病史及臨床錶現，動態觀察病情變化。早期診斷、及時處理、適時終止妊娠，改善母兒預後。
목적：분석태반조박적고위인소、림상특점급모영병발증，탐토임신만기태반조박적예방、오진원인、조기진단급정학처리，이강저잉산부급위생인적사망솔。방법：대78례태반조박환자적림상자료진행회고성분석，중형조46례，행부궁산분면45례（97.8%）；경형조32례，부궁분면18례（56.3%）。분석발병유인、림상표현급모인예후。결과：임신기고혈압질병시태반조박적수요고위인소，점48.7%（38/78）。량조년령、잉주、태차、산후출혈비교차이균무통계학의의（P>0.05）。량조산시출혈솔、DIC、자궁차전절제、신생인질식、사태솔화사망솔차이균무통계학의의（P>0.05）。량조부궁산솔、자궁-태반졸중솔비교，중형조균대우경형조，차이유통계학의의（P<0.05）。결론：태반조박적조기진단응주의병사급림상표현，동태관찰병정변화。조기진단、급시처리、괄시종지임신，개선모인예후。
Objective:To analyze the placental abruption risk factors,clinical characteristics,and maternal complications,explore late pregnancy placental abruption prevention,misdiagnosed reasons,early diagnosis,and correct treatment,in order to reduce mortality of maternal and perinatal child. Method:Clinical data of 78 cases with placental abruption were retrospectively analyzed,46 cases in heavy group,which contained 45 cases(97.8%)who received cesarean section,32 cases in light group,which contained 18 cases(56.3%)who received cesarean section. The cause, clinical manifestation,and prognosis were analyzed. Result:Gestational hypertension disease was the primary risk factor for placental abruption,which accounted for 48.7%(38/78). There was no statistically significant difference in age,gestational week,pregnancies,postpartum hemorrhage between the two groups(P>0.05). Two groups of intrapartum hemorrhage rate,DIC,total excision of The Times of the uterus,newborn asphyxia,stillbirth rate and mortality differences had no statistical significance(P>0.05). Two groups of cesarean section rate,uterine placenta stroke rate comparison,heavy group were greater than light,the difference was statistically significant(P<0.05). Conclusion:The early diagnosis of placental abruption should pay attention to history and clinical manifestations,dynamic observation on patient’s condition. Early diagnosis,timely treatment,and timely termination of pregnancy can improve the prognosis.
