CAJ | 학술논문

目的：探讨胎盘早剥的诱因、临床表现、诊断及治疗方法。方法回顾分析62例胎盘早剥患者的临床资料，对其高危因素、临床表现、诊断、治疗方法进行分析。结果52例胎盘早剥有明确诱因（83．90％），依次为妊娠期高血压疾病（29．03％），胎膜早破（22．58％）。轻重型胎盘早剥的临床表现差异有统计学意义（P＜0．05）。B超检出24例，诊断率40．68％，其中重型18例，轻型6例，辅助其他检查诊断35例。轻重型胎盘早剥的产后出血、子宫胎盘卒中、新生儿窒息发生率差异有统计学意义（P＜0．05）。结论胎盘早剥需结合诱因、临床表现和体征、动态观察B超、S/D比值及胎心监护，进行综合评估，尽早做出诊断，根据病情、孕周选择合适的治疗方法以减少母婴并发症的发生。
목적：탐토태반조박적유인、림상표현、진단급치료방법。방법회고분석62례태반조박환자적림상자료，대기고위인소、림상표현、진단、치료방법진행분석。결과52례태반조박유명학유인（83．90％），의차위임신기고혈압질병（29．03％），태막조파（22．58％）。경중형태반조박적림상표현차이유통계학의의（P＜0．05）。B초검출24례，진단솔40．68％，기중중형18례，경형6례，보조기타검사진단35례。경중형태반조박적산후출혈、자궁태반졸중、신생인질식발생솔차이유통계학의의（P＜0．05）。결론태반조박수결합유인、림상표현화체정、동태관찰B초、S/D비치급태심감호，진행종합평고，진조주출진단，근거병정、잉주선택합괄적치료방법이감소모영병발증적발생。
Objective To study the motivation,clinical manifestion,diagnosis and treatment of placental abruption.Methods Clini-cal data of 62 cases of patients with placental abruption were retrospectively analyzed.The motivation,clinical manifestations,diagnosis and treatment were discussed.Results The results showed that 52 cases had the identified predisposing factors(83.90%),mainly including hy-pertensive disorders in pregnancy (29.03%),and premature rupture of membrane (22.58%).The clinical manifestation was significantly different between the mild group and the severe group(P<0.05).The detection rate of placental abruption by ultrasonography was 40.68%(27 cases),including 1 8 severe cases and 6 mild cases.Other 35 cases were diagnosed through other auxiliary inspection.The rate of postpar-tum hemorrhage,uteroplacental apoplexy and neonatal asphyxia were significantly different between the two groups (P<0.05).Conclusion Diagnosis of placental abruption should be combined with predisposing factors,clinical symptoms and signs,ultrasonography,the ratio of S/D and fetal heart rate monitoring.The diagnosis should be made as soon as possible with comprehensive evaluation.The appropriate treatment should be chosen to reduce maternal and infant complications.