胎盘早剥35例母儿结局分析

目的探讨胎盘早剥的病因及不同临床类型对母儿结局的影响。方法对住院分娩发生胎盘早剥的35例患者进行回顾性分析。结果胎盘早剥发生率为0．3％，其中I度21例（60．0％），Ⅱ度11例（31．4％），Ⅲ度3例（8．6％）；I度胎盘早剥以阴道出血为主，Ⅱ度以上胎盘早剥以腹痛为主伴阴道出血。妊娠期高血压疾病是诱发胎盘早剥的主要原因。产前B超诊断符合率为40．0％；剖宫产率为71．4％；产后出血8例（22．8％），子宫胎盘卒中3例（8．6％），失血性休克、DIC合并子宫次全切除术3例（8．6％）；围生儿死亡率为14．3％。结论胎盘早剥发生病因主要为妊娠期高血压疾病。不同临床类型早剥导致不同母儿结局。

Analysis of maternal and fetal outcomes of 35 patients with placental abruption

Objective To study the cause of placental abruption and relationship of outcomes of different clinical types of placental abruption.Methods 35 patients with placental abruption hospitalized were retrospectively analyzed. Results The incidence of placental abruption was 0. 3％. The rate of type Ⅰ was 60. 0％ (21cases) ,type Ⅱ 31.4％ ( 11 cases) and type Ⅲ 8. 6％ ( 3 cases). The gestational hypertension was the main cause of placental abruption. The rate of antepartum ultrasonic diagnostic was 40. 0％. The cesarean section rate was 71.4％. The incidence of postpartum hemorrhage, uteroplacental apoplexy and shock, DIC and partial hysterectomy on uterus were 22. 8％ (8 cases) ,8.6％ (3 cases) and 8.6％ (3 cases) ,respectively. The mortality rate of perinatal newborn was 14. 3％ (5 cases). Conclusion The gestational hypertension was the main cause of placental abruption. There was close relationship between the degree of placental abruption and different pregnant outcomes of women.