88例胎盘早剥的妊娠结局

目的探讨胎盘发病的诱因、临床症状、处理及防治措施,降低围生儿病死率,提高产科质量。方法回顾性分析我院2007年1月至2011年12月88例胎盘早剥的临床资料,回顾性分析其发病原因、症状、分娩方式,母婴结局。结果妊娠高血压疾病是导致胎盘早剥的主要原因,所占比例为41%,其余依次为胎膜早破、机械损伤、羊水过多或过少等;胎盘早剥的临床表现,以阴道出血为主,所占比例为65.90%,其次为阵发性腹痛,所占比例为56.81%;产后出血并发症是最易发生的并发症,所占比例为31.82%,其次为宫缩乏力,所占比例为12.5%;发生胎盘早剥的患者中,68例为剖宫产,占77.27%,18例为阴道分娩,占20.45%;胎盘早剥的结局为无一例孕产妇死亡,新生儿平均出生体质量(3100±800),死胎2例,死产1例,早期新生儿死亡8例,窒息新生儿29例,流产9例,其余39例正常。结论重视胎盘早剥相关因素及临床表现,做到早期诊断,加强孕产期的处理,防治各种并发症,减少胎盘早剥的发生率,降低围生儿病死率。

The Pregnancy Outcomes in 88 Cases of Placental Abruption

Objective To explore the precipitating factors, clinical manifestations, treatments and preventive measures in placental abruption, thereby reducing pcrinatal mortality and improving obstetric quality. Method 88 eases of placental abruption from January 2007 to December 2011 were relrospeetively analyzed, including its etiology, symptoms, delivery methods, maternal and neonatal outcomes. Results Hypertensive disorders in pregnancy is a major cause of placental abruption, accounted for 41%, followed by premature rupture of membranes, mechanical damage, polyhydramnios or oligohydramnios; clinical manifestatiom of placental abrupfion, dominated by vaginal bleeding, accounted for 65.90%, followed by paroxysmal abdominal pain, accounted for 56.81%; complications postpartum h~ge is the most common complication, the proportion of 31.82%, followed by uterine atony, accounted for 12.5%; for patients with placental abmption, 68 cases of cesarean section, accounting for 77.27%, 18 cases of vaginal delivery, accounted for 20.45%; placental abruption ending without a pregnant women death, the average bit＇th weight （3100~800）, 2 cases of fetal death, stillbirth and early neonatal death in 1 cases, 8 cases, 29 cases of neonatal asphyxia, abortion 9 cases, the other 39 cases of normal. Conclusion The imtxnhance of the relevant factors and clinical manifestations of placental abruplion should be attached to. Early diagnosis should be made, pregnancy managements bettered, and complications prevented so as to reduce the incidence rate of placental abmption and perinatal mortality.