| 摘要: |
| ［摘要］ 目的 探讨重度子痫前期并发胎盘早剥病例的临床发生情况。方法 回顾性分析2006-01～2008-12收治的胎盘早剥孕产妇109例，其中将重度子痫前期并发胎盘早剥33例作为研究组；同期非重度子痫前期的胎盘早剥孕产妇76例为对照组，比较两组孕产妇及围产儿的最终结局。结果 研究组平均孕周为（32.54±2.11）周，近90%产前无阴道出血症状或经B超检查可疑胎盘早剥；对照组平均孕周为（37.62±4.73）周，产前以腹痛、阴道外出血为主要症状，两组差异有统计学意义(P<0.05)，但两组分娩方式与产时并发症的发生无统计学意义（P>0.05）。围产儿死亡者研究组为9例，占25.7%，对照组为8例，占9.9%，两组差异亦有统计学意义（P<0.05）。结论 重度子痫前期是胎盘早剥的重要诱因，胎龄是影响围产儿结局的主要因素。严重并发症的发生与孕妇合并重度子痫前期无直接关系，重度子痫前期无典型症状的胎盘早剥更易引起严重的孕产妇及围产儿不良结局，应引起临床医师的警惕和重视。 |
| 关键词: 重度子痫前期 胎盘早剥 |
| DOI：10.3969/j.issn.1674-3806.2009.09.12 |
| 分类号:R 714.24 |
| 基金项目: |
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| A clinical analysis on 33 pregnant and lying-in women with severe pre-eclampsia complicated placental abruption |
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LIAO Qi, LIANG Lan, WU Hua, et al.
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Department of Obstetrics and Gynecology, the People′s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
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| Abstract: |
| ［Abstract］ Objective To investigate the clinical status of pregnant and parturient women with severe pre-eclampsia complicated placental abruption.Methods A retrospective analysis was performed in 109 cases with placental abruption in our hospital from January 2006 to December 2008, the study group were 33 pregnant and parturient women with severe pre-eclampsia complicated placental abruption, the control group were 76 cases with placental abruption.Results The average gestational weeks in study group was （32.54±2.11） weeks, there were no antepartum colporrhagia or suspicious placental abruption in nearly 90% cases.The average gestational weeks in control group was （37.62±4.73） weeks, the cardinal symptom was abdominal pain and external colporrhagia.There was significant difference between the two groups (P<0.05). but there was no significant difference in occurrence of delivery style and complication between two groups (P>0.05). The perinatal mortality in study group and control group were 25.7%(9 cases) and 9.9%(8 cases), respectively. There was significant difference between the two groups (P<0.05). Conclusion Severe pre-eclampsia was important inducing cause of placental abruption, gestational age was main cause of affecting outcomes of perinatal infant. There is no direct relation between the occurrence of severe complications and severe pre-eclampsia in pregnant woman, Severe pre-eclampsia complicated asymptom placental abruption was more susceptible to cause severe adverse outcomes in pregnant and parturient women and perinatal infant, which should be vigilant and attached great importance. |
| Key words: Severe pre-eclampsia Placental abruption |
