胎盘早剥致子宫卒中25例临床分析

目的：探讨胎盘早剥与子宫卒中的相关因素及提出预防建议。方法：对我院近7年来收治66例胎盘早剥进行回顾性分析。结果：胎盘早剥66例中并发子宫卒中25例占37．87％(25／66)；合并DIC8例(8／11)；急性肾衰4例(4／5)；出血性休克例(8／10)；新生儿窒息14例(14／26)，重度窒息10例(10／11)。新生儿死亡2例(2／5)，死胎4例(4／7)。子宫切除5例。结论：子宫卒中对母婴威胁极大；腹痛致分娩时间与子宫卒中的发生密切相关；早剥面积越大，子宫卒中程度越严重；及时结束分娩对防止重型胎盘早剥及子宫卒中极为重要；子宫卒中不是子宫切除的手术指征。

The clinical analyse of the placental abruption result in uterplacental apoplexy 25 cases

Objective: To explore the relative factors about placental abruption and uterplacental apoplexy and give some prevented opinions.Method: The retrospective analysis were done on 66 cases with placental abruption in our hospitalfrom Jan. 1992 to Jan. 2003.Result: Twenty-five patients result in uterplacental apoplexy .The incidence of it was 37.87%;8 cases complicated with DIC(8/11);4 cases with acute kidney decay(4/5);14 cases with freshmen asphyxiated (14/26),the severe degree patients were 10 cases(10/11),2 cases with freshmen dead (2/5) ;4 cases with dead fetuses(4/7).5 cases with hysterectomy .Conclusion: Uterplacental apoplexy make greatly risk to mothers and childbirth.There existing closed relationship for the time from stomache to childbirth and the severe degree of placental abruption to uterplacental apoplexy.It is very important to prevent severe degree placental abruption and uterplacental apoplexy through conclude childbirth in time.uterplacental apoplexy is not the only operation sign.