胎盘早剥并发子宫胎盘卒中12例临床分析

目的:探讨胎盘早剥并发子宫胎盘卒中患者的临床特点。方法:选择2008年1月～2012年5月该院收治的胎盘早剥患者69例,其中并发子宫胎盘卒中12例作为卒中组,其余57例作为观察组,回顾性比较分析两组产妇胎盘早剥的危险因素、并发症情况以及母婴结局等信息。结果:胎盘早剥发生率为0.51%,子宫胎盘卒中发生率占胎盘早剥病例的17.79%。与观察组患者相比,卒中组患者重度子痫前期和机械性因素发病诱因比例明显提高,术后DIC和产后出血的发生率明显提高,且新生儿窒息和围产儿死亡的比例明显提高,重度胎盘早剥比例明显提高,轻度胎盘早剥比例明显下降,差别均具有统计学意义(P<0.05)。结论:采取有效的检查措施,提高子宫胎盘卒中的早期诊断,给予积极有效的应急治疗,对确保母婴安全具有十分重要的意义。

Clinical analysis on 12 cases with placental abruption combined with uteroplacental apoplexy

Objective:To explore the clinical characteristics of patients with placental abruption combined with uteroplacental apoplexy.Methods:Sixty-nine patients with placental abruption who were treated in the hospital from January 2008 to May 2012 were selected,then they were divided into uteroplacental apoplexy group(including 12 patients with placental abruption combined with uteroplacental apoplexy) and observation group(including 57 patients with simple placental abruption);the risk factors,complications,and maternal-infantile outcomes in the two groups were compared and analyzed retrospectively.Results:The morbidity of placental abruption was 0.51%.The patients with uteroplacental apoplexy accounted for 17.79% of the total cases.Compared with observation group,the proportions of patients induced by severe preeclampsia and mechanical factor in uteroplacental apoplexy group increased significantly,the morbidities of postoperative DIC and postpartum hemorrhage increased significantly,and the proportions of neonatal asphyxia and perinatal death increased significantly,the proportion of severe uteroplacental apoplexy increased significantly,the proportion of mild uteroplacental apoplexy decreased significantly,there were statistically significant differences(P<0.05).Conclusion:Taking effective screening measures,increasing early diagnostic rate of uteroplacental apoplexy,and adopting active and effective emergency therapy have important significances for ensuring maternal-infantile safety.