CAJ | 학술논문

　　目的分析胎盘早剥的临床表现及处理过程，为提高产科工作质量提供依据。方法回顾性分析2008年1月-2012年12月清远市妇保健院收治的胎盘早剥患者45例的临床资料。结果4年中胎盘早剥发生率为0.31%，发病因素以妊娠期高血压综合征、胎膜早破及脐带因素为多见，分别占胎盘早剥病例的42%、17.8%和15.6%；临床表现以腹痛、阴道流血及胎心音异常改变多见；胎儿死亡3例，病死率为6.5%。结论应重视胎盘早剥的诱因及症状体征，结合辅助检查，做好胎盘早剥的早诊断及早治疗。
　　목적분석태반조박적림상표현급처리과정，위제고산과공작질량제공의거。방법회고성분석2008년1월-2012년12월청원시부보건원수치적태반조박환자45례적림상자료。결과4년중태반조박발생솔위0.31%，발병인소이임신기고혈압종합정、태막조파급제대인소위다견，분별점태반조박병례적42%、17.8%화15.6%；림상표현이복통、음도류혈급태심음이상개변다견；태인사망3례，병사솔위6.5%。결론응중시태반조박적유인급증상체정，결합보조검사，주호태반조박적조진단급조치료。
Objective To Analyze the clinical manifestations and the processing of the cases with placental abruption and provide the basis to improve the quality of obstetric work. Methods 45 cases with placental abruption were analyzed retrospectively from January of 2008 to December of 2012 in our hospital. Results The incidence rate of placental abruption was 0.31%in the past 4 years. The risk factors of placental abruption were mainly gestational hypertension syndrome, premature rupture of membranes and umbilical cord factors, and accounted for 42%, 17.8%and 15.6%respectively. The clinical manifestations of placental abruption were mainly abdominal pain, vaginal bleeding and abnormalities of fetal heart tones. Among the cases, 3 of their fetus were dead and the mortality rate was 6.5%. Conclusion More attention should be paied to the incentive of placental abruption and signs and symptoms of cases with placental abruption, combined with auxiliary examination, to improve the early diagnosis and early treatment of cases with placental abruption.