CAJ | 학술논문

目的探讨不同孕周胎盘早剥对妊娠结局的影响.方法回顾分析上海交通大学医学院苏州九龙医院88例不同孕周胎盘早剥患者胎盘早剥发生的类型、相关危险因素及母婴结局.结果 88例胎盘早剥在孕中期与孕晚期发生胎盘早剥的比例是15 73,孕晚期重型胎盘早剥发生率为8.95%,诱因与妊娠期并发症、胎膜早破、外伤及产程中使用宫缩剂等有关;孕中期重型胎盘早剥发生率为15.38%,诱因与外伤、胎膜早破、医源性等因素有关.结论孕中期重型胎盘早剥发生率高,病情凶险,预后相对较好;孕晚期轻型胎盘早剥发生率高,应及时诊断处理,从而降低围生儿的死亡率,改善母婴结局.
목적탐토불동잉주태반조박대임신결국적영향.방법회고분석상해교통대학의학원소주구룡의원88례불동잉주태반조박환자태반조박발생적류형、상관위험인소급모영결국.결과 88례태반조박재잉중기여잉만기발생태반조박적비례시15 73,잉만기중형태반조박발생솔위8.95%,유인여임신기병발증、태막조파、외상급산정중사용궁축제등유관;잉중기중형태반조박발생솔위15.38%,유인여외상、태막조파、의원성등인소유관.결론잉중기중형태반조박발생솔고,병정흉험,예후상대교호;잉만기경형태반조박발생솔고,응급시진단처리,종이강저위생인적사망솔,개선모영결국.
Objective To explore the influence of placental abruption in different gestational weeks on the pregnant result.Method The clinical data from 88 patients with placental abruption in different gestational weeks were analyzed retrospectively on the types,relative risk factors,maternal and neonatal outcomes.Results The ratio of placental abruption in the midtrimester and the late pregnacy was 1573.The ratio of server placental abruption was 8.95% in late pregnancy.The precipitating factors might be associated with pregnancy complications,premature rupture of membranes,trauma and application of oxytocin during the labor;The ratio of severe placental abruption in the midtrimester was 15.38%.The precipitating factors should include trauma,premature rupture of memberanes and some latrogenic factors,and so on.Conclusion The incidence of server placental abruption should be higher in the midtrimester of pregnancy and the patients' condition may be in a very dangerous state,but the prognosis could be good.The incidence of mild placental abruption in the late pregnancy may be high,which should be diagnosed and treated in time to reduce the perinatal mortality and improve maternal and neonatal outcomes.