妊娠高血压疾病并胎盘早剥20例临床分析

目的:探讨妊娠高血压疾病并胎盘早剥的临床特点和治疗效果。方法:回顾性分析2005年1月～2010年5月我院妊娠高血压疾病并胎盘早剥20例患者的临床资料。结果:本组患者中,经过阴道分娩或者剖宫产术后,早产儿3例,低体重儿3例,新生儿发生窘迫5例,死胎1例,新生儿死亡3例,此病例孕妇为中重度妊高征合并重度胎盘早剥,新生儿均发生呼吸窘迫综合征。死产2例,胎儿窘迫3例,死亡率为25.0%。结论:加强产前检查,积极防治妊高征是预防胎盘早剥的关键;早期诊断并及时给予相应临床处理对降低妊高征合并胎盘早剥孕妇病死率至关重要。

Clinical analysis:20 cases of gestational hypertension complicated placental abruption

Objective： To discuss the characters of pregnancy-induced hypertension complicated with placental abruption and treatment effect.Methods： Data of 20 cases of pregnancy-induced hypertension complicated with placental abruption that hospitalized in our hospital during January 2005 and May 2010 were retrospectively analyzed.Results： Premature children occurred in 3 cases,low birth weight children in 3 cases,neonatal distress in 5 cases,stillbirth in 1 case,neonatal death in 3 cases.For women with moderate to severe pregnancy-induced hypertension that was complicated with placental abruption,2 new borne babies experienced respiratory besides,and 2 died with death incidence of 25.0%.Conclusions： Strengthened prenatal examination and prevention of pregnancy-induced hypertension is the key to reduce placental abruption incidence;early diagnosis and effective treatment is essential for reducing maternal mortality induced hypertension complicated with placental abruption.