胎盘早剥26例临床分析

目的探讨胎盘早剥的高危因素、早期诊断和积极治疗的重要性,总结临床经验以提高自身水平。方法回顾性分析26例胎盘早剥患者的临床诊治资料,从高危因素、诊断、治疗、母儿结局等方面进行探讨。结果妊娠期高血压疾病是胎盘早剥的主要高危因素,其次有胎膜早破和脐带因素等。本组患者Ⅰ度胎盘早剥16例,Ⅱ度胎盘早剥3例,Ⅲ度胎盘早剥7例;死胎9例;子宫胎盘卒中11例;凝血功能障碍2例;经积极治疗,无产后出血、孕产妇子宫切除及死亡病例发生。结论胎盘早剥对母儿生命威胁很大,临床上应针对其高危因素制定相应措施,全面加强产前检查,及时治疗原发疾病,预防胎盘早剥的发生,并尽可能早期诊断,积极采取相应处理措施,降低孕产妇、围生儿死亡率。

Clinical analysis of 26 cases of placental abruption

Objective To explore the risk factors and the importance of early diagnosis and active treatment of placental abruption, and to summarize the clinical experience for improving personal level. Methods Clinical diagnosis and treatment information of 26 patients with placental abruption were retrospectively analyzed Discussion was made on the risk factors, diagnosis, treatment, maternal and fetal outcomes. Results Gestational hypertension disease was the main risk factor of placental abruption, and premature rupture of membranes, umbilical cord were the following reasons. Among all the cases, there were 16 cases of placental abruption with I degree, 3 cases of placental abruption with II degree, 7 cases of placental abruption with III degree, 9 cases of stillbirth, 11 cases of uteroplacental apoplexy, and 2 cases of Blood coagulation dysfunction. After active treatment, no postpartum hemorrhage, hysterectomy and maternal deaths occurred. Conclusion Placental abruption is dangerous for pregnant woman and infant. According to the clinical risk factors, clinical measures should be taken to formulate corresponding measures, comprehensively strengthen antenatal examination, and treat primary disease timely so as to prevent the happening of the placental abruption, and as far as possible early diagnosis, and take corresponding measures to reduce maternal and perinatal mortality.