| 宋玉娥马红梅张萍孙聚平王沛青.胎盘早剥98 例临床诊断和治疗[J].,2011,11(17):3315-3317 |
| 胎盘早剥98 例临床诊断和治疗 |
| Clinical Diagnosis and Treatment on 98 Cases with Placental Abruption |
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| DOI： |
| 中文关键词: 胎盘早剥 诊断 治疗 |
| 英文关键词: Placetal abruption Diagnosis Treatment |
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| 中文摘要: |
| 目的：了解胎盘早剥的临床特点, 探讨胎盘早剥的病因和早期诊断和处理。方法：回顾性分析2003 年1 月至2011 年3 月我
院分娩产妇中发生胎盘早剥98 例的临床资料,其中I 度51 例, II 度26 例，III 度21 例。结果：胎盘早剥发生率为0.53%。主要临床
表现为持续性或间歇性腰腹痛、阴道流血、血性羊水、胎动异常等。病因依次为妊娠期高血压疾病、胎膜早破、脐带因素、机械因
素、羊水过多、双胎、子宫畸形、不明原因等。母婴结局：98 例孕产妇中经阴道分娩38 例, 剖宫产60 例。孕产妇死亡2 例，死亡率为
2.04%；围生儿死亡17 例，病死率为16.60%；产后出血16 例,占15.31 %；合并弥漫性血管内凝血(DIC)9 例,占9.20 %；出现子宫卒
中10 例,占10.20 %；子宫次全切除2 例，占2.04%。结论：胎盘早剥是妊娠晚期的严重并发症，重视胎盘早剥的诱因，临床表现，结
合B 超等辅助检查，做到早期诊断、及时处理，才能降低孕产妇死亡率及围生儿病死率。 |
| 英文摘要: |
| Objective: Understand the clinical characteristics of placental abruption and discuss the cause, the early prenetal diagnosis
and management of placetal abruption. Methods: 98 patients with placental abruption were reviewed from Janurary 2003 to March
2011,and Which I degrees 51 cases, II degrees 26 cases and III degrees 21 cases. Results: The incidence of placental abruption is 0.53%.
Major clinical manifestations are a persistent or intermittent waist abdominal pain, vaginal bleeding, hemorrhagic amniotic fluid and
quickened unusual etc. The causes of placental abruption are pregnancy hypertension disease, tire premature rupture of membrane, umbilical
cord factors, mechanical factors, hydramnios and double tyres, uterine deformity, unexplained, etc. There were 38 cases of delivery
through vagina and 60 cases of cesarean section in 98 pregnant women. There were death 2 cases (2.04%) of 98 pregnant women and 17
cases (16.60%)of 98 Perinatal Infant. There were 16 cases(15.31 %) of postpartum hemorrhage,9 cases(9.20%) of disseminated intravascular
coagulation, 10 cases (10.20 %) of unterine stroke，2 cases of Uterine subtotal resection (2.04%). Conclusion: Pay attention to the
cause of Abruption triggers, clinical manifestation and do early diagnosis, prompt processing,and treatment of placental abruption can
effectively cut down the damage to mothers and infants. |
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