胎盘早剥分娩方式的选择

目的:探讨胎盘早剥的分娩方式的选择.方法:回顾分析1999-12～2004-12在本院分娩的胎盘早剥患者70例.结果:胎盘早剥70例中阴道分娩38例,占54.29%(38/37),剖宫产32例,占45.71%(32/70),其中轻型胎盘早剥47例,重型胎盘早剥23例,并发DIC 6例,产后大出血8例,急性肾衰4例,新生儿窒息8例,胎儿宫内死亡1例.结论:胎盘早剥危及母婴生命,其预后与处理的及时性密切相关,根据患者病情轻重、出血量、胎儿情况、孕龄、合并症、产程进展而采用不同的处理方式,一旦确诊重型胎盘早剥,必须及时终止妊娠.

The choice of the delivery mode of placental abruption cases

Objective To explore the choice of the delivery mode of placental abruption cases. Medthod 70 cases of placental abruption w ho delivered in the obstetrics department of our hospital were retrospectively r eviewed. Result 38 cases(54.29%) were vaginal delivered. 32 cases (45 .71%) accepted cesarean section. 47 cases had mild type placental abruption. 23 cases had severe type placental abruption. 6 cases complicated with DIC, 8 cases with postpartum hemorrhage, 4 cases with acute renal failure and 8 cases with a sphyxia neonatorum. Fetal death occurred in 1 cases. Conclusion Place ntal abruption is dangerous to mothers and infants. The prognosis is closely re lated to the managements. Different management should be according to the state of illness, the amount of bleeding, the retal condition, the gestational age, th e complications and the labor process. The pregnancy of severe cases must be end ed timely when the diagnosis is confirmed.