CAJ | 학술논문

目的探讨胎死宫内的相关病因及分娩方式.方法对2002年1月至2012年1月解放军总医院收治的56例胎死宫内患者的临床资料进行回顾性分析.结果重度子痫前期是胎死官内的首要原因(21/56,37.5％),其次为胎盘早剥(7/56,12.5％),脐带因素(6/56,10.7％)和胎位异常(4/56,7.1％).分娩方式包括药物引产20例,催产素引产15例,利凡诺引产5例,剖官产6例,阴道分娩10例.结论子痫前期是引起胎死宫内的重要原因,关键在于及早发现异常和及时做出诊断,适时地终止妊娠并选择合适的引产方式,使母儿的危险降到最低,从而达到降低围产儿病死率的目的.
목적 탐토태사궁내적상관병인급분면방식.방법 대2002년1월지2012년1월해방군총의원수치적56례태사궁내환자적림상자료진행회고성분석.결과 중도자간전기시태사관내적수요원인(21/56,37.5％),기차위태반조박(7/56,12.5％),제대인소(6/56,10.7％)화태위이상(4/56,7.1％).분면방식포괄약물인산20례,최산소인산15례,리범낙인산5례,부관산6례,음도분면10례.결론 자간전기시인기태사궁내적중요원인,관건재우급조발현이상화급시주출진단,괄시지종지임신병선택합괄적인산방식,사모인적위험강도최저,종이체도강저위산인병사솔적목적.
Objective To study the maternal relative factors and treatment of intrauterine fetal death.Methods From January 2002 to January 2012,the clinical data of 56 cases with in Chinese people's liberation army general hospital were studied retrospectively.Results The chief cause that leaded to intrauterine fetal death was severe preeclampsia(21/56,37.5％),the second was placental abruption (7/56,12.5％).The other causes were umbilical cord factors (6/56,10.7 ％) and malposition (4/56,7.1 ％).Among these patients,we adopted several delivery ways including drug,oxytocin,caesarean birth and vaginal delivery.Conclusions Preeclampsia plays the most important role in intrauterine fetal death.The key to decrease intrauterine fetal death rely on the finding the abnormal conditions as early as possible and diagnosing promptly.The termination of pregnancy and choose the appropriate labour induction way can decrease the mortality rate of fetal in perinal stage.