胎盘早剥57例临床分析

目的通过对胎盘早剥患者的临床分析，探讨胎盘早剥的早期诊断、病因及积极处理的重要性。方法，回顾性分析57例胎盘早剥患者的临床资料。结果胎盘早剥的发病诱因依次为：妊娠期高血压疾病、胎膜早破、机械性因素、羊水过多及其他因素。57例产妇中并发产后出血12例，子宫胎盘卒中8例，死胎3例；57例患者中剖宫产42例，占73．68％，其中Ⅱ度、Ⅲ度胎盘早剥者剖宫产30例（88．2％），轻型胎盘早剥行剖宫产者12例（52．2％），两者比较差异有统计学意义（P〈0．05），重型胎盘早剥行剖宫产的几率高；无孕产妇死亡。结论胎盘早剥临床表现复杂，重视诱因及临床表现，结合B超等辅助检查有助于胎盘早剥的早期诊断。及时处理可以降低孕产妇和围产儿的病死率，提高母婴生活质量。

Clinical Analysis of 57 Cases of Placental Abruption

Objective To investigate the early diagnosis of placental abruption,the reasons for and the importance of active treatment.Methods The clinical data of 57 patients with placental abruption was analyzed retrospectively.Results The incidence of placental abruption incentives were: gestational hypertension,premature rupture of membranes,mechanical factors,polyhydramnios,and other factors.Among the 57 cases,complicated with maternal postpartum hemorrhage in 12 cases,8 cases of uteroplacental apoplexy,fetal deat...