CAJ | 학술논문

目的：分析胎盘早剥的发生情况及易患因素．方法对2010年1月至2012年12月昆明医科大学第一附属医院住院分娩的胎盘早剥孕妇进行病例资料回顾，分析轻度和重度胎盘早剥的易患因素及妊娠结局差异．结果45例患者中，重型胎盘早剥17例，轻型胎盘早剥28例，两组子宫胎盘卒中和围生儿结局差异有统计学意义（＜0.05）．主要高危因素为妊娠高血压疾病、胎膜早破、妊娠合并其它疾患等；22.2%的胎盘早剥患者没有明显高危因素．结论没有高危因素的孕妇也可能发生严重的胎盘早剥，造成不良的妊娠结局，提高医护人员对这部分患者的识别能力，是改善胎盘早剥预后的必要措施．
목적：분석태반조박적발생정황급역환인소．방법대2010년1월지2012년12월곤명의과대학제일부속의원주원분면적태반조박잉부진행병례자료회고，분석경도화중도태반조박적역환인소급임신결국차이．결과45례환자중，중형태반조박17례，경형태반조박28례，량조자궁태반졸중화위생인결국차이유통계학의의（＜0.05）．주요고위인소위임신고혈압질병、태막조파、임신합병기타질환등；22.2%적태반조박환자몰유명현고위인소．결론몰유고위인소적잉부야가능발생엄중적태반조박，조성불량적임신결국，제고의호인원대저부분환자적식별능력，시개선태반조박예후적필요조시．
Objective To analyze the risk factors and clinical characteristic of placental abruption. Methods We retrospectively analyzed the medical documents of 45 patients treated in the first affiliated hospital of Kunming medical university during 2010 to 2012. All mild placental abruption patients and severe placental abruption patients were used to analyze the high risk factors and outcomes of pregnancy. Results The incidence of placental abruption was 0.41%. Seventeen severe placental abruption patients and 28 mild placental abruption cases were included in this study. The incidence of uteroplacental apoplexy and perinatal infant outcomes were significant diferenct between two groups (P≤0.023) .The high risk factors were hypertensive disorders in pregnancy, premature rupture of membranes,complicated with other diseases in pregnancy, and so on. About 22.2%placental abruption couldn't be explained by any reasons. Conclusions Severe placental abruption can occur in pregnant women with no high risk factors and cause bad pregnant outcomes. To improve the skills of medical personnel is the powerful measure in placental abruption treatment.