摘要
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例为胎死宫内,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。
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.
出处
《海南医学院学报》
CAS
2009年第7期771-772,共2页
Journal of Hainan Medical University
基金
海南医学院科研基金资助学报项目(0020090055)~~
关键词
妊娠
胎盘早剥
诊断
治疗
Pregnancy
Placental abruption
Diagnosis
Treatment