胎盘早剥62例临床分析

目的：探讨胎盘早剥的病因、临床表现及诊治方法。方法：对2003-2007年间我院收治的62例胎盘早剥孕妇的临床资料进行回顾性分析。结果：胎盘早剥占同期住院分娩总数的0．91％％（62／6800）。妊娠高血压综合征是导致胎盘早剥的主要诱因，占62．90％，临床表现以腹痛、阴道流血多见。分娩方式以剖宫产为主，剖宫产38例中8例为胎死官内，行剖宫取胎术；12例发生新生儿重度窒息，8例轻度窒息。围生儿死亡8例。结论：对病因进行早期诊断和治疗，可以降低胎盘早剥的发生率和围产儿死亡率。

Clinical analysis of 62 cases with placental abruption

Objective:To discuss the cause,clinical manifestation,diagnosis and treatment of placental abruption.Methods:Retrospectively analyzed clinical data of 62 cases with placental abruption from 2003～2007 in our hospital.Results:0.91% of delivery cases had placental abruption(62/6 800).Pregnant-induced hypertension was the main cause,accounting for 62.90%,with abdomen pain and vaginal bleeding as main symptoms.Cesarean section was the main delivery mode.8 out of 38 cases with cesarean section had intrauterine fetus death,and the dead fetuses were taken by cesarean section.12 cases had neonatal severe asphyxia,and 8 cases had light asphyxia.8 cases were dead.Conclusion:Diagnosis and treatment at earliest can decrease the incidence of placental abruption and death rate of perinatal.