| 摘要: |
| ［摘要］ 目的 探讨胎盘早剥相关因素与早期诊断、及时处理的重要性。方法 回顾性分析我院2006-01～2008-09胎盘早剥43例临床资料。结果 胎盘早剥发生率0.88%；妊娠期高血压疾病、机械性因素及胎膜早破为其主要病因，各占34.88%、25.58%和16.27%；B超诊断率为69.69%；剖宫产率为62.79%；产后出血率为23.26%；子宫胎盘卒中率为32.56%；休克率为16.28%；DIC率为23.26%；子宫切除率为2.33%；围产儿死亡率5.11‰。结论 加强孕期产前检查及健康教育，重视诱因及临床表现，早期诊断，及时处理，可以降低孕产妇和围产儿的死亡率。 |
| 关键词: 胎盘早剥 相关因素 诊断及处理 母婴结局 |
| DOI： |
| 分类号:R 714.46 |
| 基金项目: |
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| The clinical analysis of 43 patients with placenta abruption |
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HUANG Xue-mei, ZENG Ai-huang, HUANG Ying-li
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The People′s Hospital of Pingnan，Pingnan 537300, China
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| Abstract: |
| ［Abstract］ Objective To study the correlation factors of placental abruption, the importance of early diagnosis and timely treatment.Methods Clinical data of 43 cases of placental abruption in our hospital from January 2006 to september 2008 were analysed retrospectively.Results Placental abruption incidence was 0.88%; its major cause were pregnancy-induced hypertension, mechanical factors and premature rupture of membranes, each 34.88%, 25.58%, 16.27% respectively; b-typeultrasonic diagnosis rate was 69.69%; cesarean section rate 62.79%; postpartum hemorrhage rate was 23.26%; the incidence of uteroplacental apoplexy was 32.56%; the shock was 16.28%; DIC rate was 23.26%; the hysterectomy rate was 2.33%; perinatal mortality rate was 5.11‰.Conclusion Strengthening prenatal examination and health education during pregnancy, paying attention to incentives and clinical manifestations, early diagnosis and timely treatment can reduce maternal and perinatal mortality. |
| Key words: Placental abruption Correlation factor Diagnosis and Treatment Maternal and fetal outcome |
