CAJ | 학술논문

目的：探析胎盘早剥的临床特征及处理情况。方法入选该院胎盘早剥产妇42例,对其临床资料进行回顾性分析。结果胎盘早剥42例中顺产16例,剖宫产26例；27例早剥I度,2例产后出血；11例早剥II度,4例产后出血；4例III度早剥,全部产后出血,1例出现弥散性血管内凝血予以子宫切除术。胎盘早剥42例孕妇,均为单胎,导致新生儿窒息16例(38.1%),死胎2例(4.8%),胎盘早剥分度引发的新生儿窒息情况,结果差异有统计学意义(P<0.05)。结论应对胎盘早剥的临床特征及诱因予以重视,定期进行辅助检查,早期诊治胎盘早剥。
목적：탐석태반조박적림상특정급처리정황。방법입선해원태반조박산부42례,대기림상자료진행회고성분석。결과태반조박42례중순산16례,부궁산26례；27례조박I도,2례산후출혈；11례조박II도,4례산후출혈；4례III도조박,전부산후출혈,1례출현미산성혈관내응혈여이자궁절제술。태반조박42례잉부,균위단태,도치신생인질식16례(38.1%),사태2례(4.8%),태반조박분도인발적신생인질식정황,결과차이유통계학의의(P<0.05)。결론응대태반조박적림상특정급유인여이중시,정기진행보조검사,조기진치태반조박。
Objective To explore the clinical features and treatment of placental abruption. Methods 42 cases of puerperants with placental abruption admitted in our hospital were selected, and the clinical data of them were taken for retrospectively analysis. Results Of the 42 cases of puerperants with placental abruption, there were 16 cases of normal childbirth, 26 cases of cesarean section;27 cases of abruption I degree, and 2 cases of postpartum hemorrhage;11 cases of early stripping II degree, and 4 cases of postpartum hemorrhage;4 cases of early stripping III degree, and all with postpartum bleeding, 1 case had disseminated inravascu-lar coagulation and was treated with hysterectomy. Of the 42 cases of puerperants with placental abruption, all were single births, there were 16 cases of asphyxia neonatorum (38.1%), 2 cases of stillbirth (4.8%); the result of placental abruption caused by as-phyxia neonatorum had statistical difference (P<0.05). Conclusion The clinical characteristics and inducement of placental abrup-tion should be attached importance, and accessory examination should be conducted regularly and placental abruption should be diagnosed and treated early.