妊娠晚期胎盘早剥26例临床分析

目的提高对妊娠晚期胎盘早剥的预防、早期诊断及积极治疗，警惕附着于子宫后壁和剥离面小的病例。方法回顾性分析我院1990年1月～2004年12月26例妊娠晚期胎盘早剥的病例，分析其发病原因、症状、体征、分娩方式、母婴结局及早期识别。结果妊娠晚期胎盘早剥的手术产率69．23％。产后出血、死胎、新生儿窒息的发病率均高于同期住院分娩的发病率。结论胎盘早剥对母儿生命威胁大，应加强预防、早期诊断、正确处理，是降低母婴并发症及死亡率的关键。

Clinical Analysis of 26 Patients with Placenta Abruption during Late Pregnancy

Objective To explore prevention,early diagnosis and treatment of placental abruption during late pregnancy. Methods Retrospective analysis on 26 cases of placental abruption during late pregnancy from January 1990 to December 2004 in our hospital was performed with regard to the causes, symptoms, signs, child-birth styles, outcomes of mother and infants and early diagnosis. Results The incidence of cesarean section of placental abruption during late pregnancy was 69.23%. The incidences of postpartum hemorrhage,fetal death,stillbirth and asphyxia of newborn were higer than those normal of delivery in our hospital during the same period. Conclusion Placental abruption is dangerous for pregnant woman and infant. We should pay attention to prevention,early diagnosis and right treatment to improve the prognosis of mother and fetus.