中国民康医学
中國民康醫學
중국민강의학
MEDICAL JOURNAL OF CHINSEE PEOPLE HEALTH
2015年
1期
31-32
,共2页
胎盘早剥%临床表现%诊断
胎盤早剝%臨床錶現%診斷
태반조박%림상표현%진단
Placental abruption%Clinical manifestation%Diagnosis
目的：：分析胎盘早剥的诱因、临床表现以及母婴结局，提高对该病的认知与救治效果。方法：回溯94例胎盘早剥患者的临床资料，分析其发生诱因、临床表现以及母婴结局。结果：妊娠期高血压疾病史诱发胎盘早剥的主要原因，其次是胎膜早破，脐带因素，羊水过多等。97例产妇中并发产后出血19例，子宫胎盘卒中16例。孕产妇无死亡情况。围生儿死亡12例，其中死胎8例，死产3例，新生儿死亡1例。结论：胎盘早剥具有很大的危险性，严重威胁到母婴生命。应该结合诱因、临床表现综合考虑，及早诊断处理。
目的：：分析胎盤早剝的誘因、臨床錶現以及母嬰結跼，提高對該病的認知與救治效果。方法：迴溯94例胎盤早剝患者的臨床資料，分析其髮生誘因、臨床錶現以及母嬰結跼。結果：妊娠期高血壓疾病史誘髮胎盤早剝的主要原因，其次是胎膜早破，臍帶因素，羊水過多等。97例產婦中併髮產後齣血19例，子宮胎盤卒中16例。孕產婦無死亡情況。圍生兒死亡12例，其中死胎8例，死產3例，新生兒死亡1例。結論：胎盤早剝具有很大的危險性，嚴重威脅到母嬰生命。應該結閤誘因、臨床錶現綜閤攷慮，及早診斷處理。
목적：：분석태반조박적유인、림상표현이급모영결국，제고대해병적인지여구치효과。방법：회소94례태반조박환자적림상자료，분석기발생유인、림상표현이급모영결국。결과：임신기고혈압질병사유발태반조박적주요원인，기차시태막조파，제대인소，양수과다등。97례산부중병발산후출혈19례，자궁태반졸중16례。잉산부무사망정황。위생인사망12례，기중사태8례，사산3례，신생인사망1례。결론：태반조박구유흔대적위험성，엄중위협도모영생명。응해결합유인、림상표현종합고필，급조진단처리。
Objective:To analyze causes, clinical manifestations and maternal and fetal outcomes of placental abruption, in order to improve the knowledge of this disease and treatment effects. Methods:The clinical data of 94 patients with placental abruption were retrospectively analyzed to find out the risk factors, clinical manifestations, and perinatal outcomes. Results:The main reason of placental abruption was history of gestational hypertension, followed by premature rupture of membrane, umbilical cord factors, me_chanical factors, polyhydramnios, and so on. In the 97 cases, 19 cases were complicated with postpartum hemorrhage and 16 cases had uteroplacental apoplexy. 12 cases were perinatal death, including 8 cases of dead fetuses, 3 cases of stillbirth, 1 case of neonatal death. Conclusions:Placental abruption is very dangerous, and is a serious threat to the lives of mother and baby. It should be com_bined with the cause, clinical manifestations for comprehensive consideration, in order to early diagnose and treatment.
