| 重度胎盘早剥的处理时限与妊娠结局 |
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| 引用本文： | 徐元春,康程,王细先,李柯瑾. 重度胎盘早剥的处理时限与妊娠结局[J]. 中国妇产科临床杂志, 2011, 12(3): 176-179. DOI: 10.3969/j.issn.1672-1861.2011.03.005 |
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| 作者姓名： | 徐元春 康程 王细先 李柯瑾 |
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| 作者单位： | 北京航天总医院妇产科,100076 |
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| 摘 要： | 目的探讨重度胎盘早剥的诱因、出现症状至分娩的时间与妊娠结局的关系、并发症的处理。方法回顾性分析北京航天总医院2002年1月至2009年12月44例重度胎盘早剥的临床资料。结果主要诱因为妊娠高血压疾病、胎膜早破,并发子宫胎盘卒中27例（61.4%）、休克19例（43.2%）、DIC13例（29.5%）、围产儿死亡23例（52.3%）。27例子宫胎盘卒中自出现症状至分娩时间为6h5min±4h12min;18例失血性休克为6h35min±3h49min;13例DIC为7h2min±4h12min。结论早期诊断及正确处理是减少并发症,降低围产儿死亡率的关键。
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| 关 键 词： | 重度胎盘早剥 子宫胎盘卒中 DIC 妊娠结局 |
The relationship between interval from onset of symptoms of severe placental abruption to delivery and pregnancy outcomes-A clinical analysis of 44 severe placental abruption |
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| XU Yuanchun,KANG Cheng,WANG Xixian,LI Kejin. The relationship between interval from onset of symptoms of severe placental abruption to delivery and pregnancy outcomes-A clinical analysis of 44 severe placental abruption[J]. Chinese Journal of Clinical Obstetrics and Gynecology, 2011, 12(3): 176-179. DOI: 10.3969/j.issn.1672-1861.2011.03.005 |
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| Authors: | XU Yuanchun KANG Cheng WANG Xixian LI Kejin |
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| Affiliation: | XU Yuanchun,KANG Cheng,WANG Xixian,LI Kejin.(Department of Obstetrics and Gynecology,Beijing Aerospace General Hospital,Beijing 100076,China) |
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| Abstract: | Objective To study the risk factors of severe placental abruption and to investigate the relationship between interval from onset of symptoms to delivery and pregnancy outcomes.Methods Data of 44 cases with severe placental abruption who were treated in our hospital from January 2002 to December 2009 were analyzed retrospectively.Results The main risk factors were pregnancy-induced hypertension syndrome and premature rupture of membranes.Of these 44 women,27(61.4%)complicated with uteroplacental apopexy,19(... |
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| Keywords: | DIC |
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