摘要
目的探讨胎盘早剥的早期诊断和防治措施。方法回顾性分析62例胎盘早剥患者的临床资料，分析胎盘早剥的发病原因、临床表现、诊治方法及母婴预后。结果妊娠期高血压疾病、外伤及房事、胎膜早破为三大主要病因；临床表现为腰腹痛、阴道出血、胎心和胎动异常、宫体板硬及压痛、血性羊水等；采取自然分娩9例，阴道助产7例，剖宫产42例，臀助产4例；43例发生产后出血，26例因子宫胎盘卒中，4例行子宫次全切除；分娩正常新生儿31例，新生儿窒息22例，胎死宫内3例，围生儿死亡6例，围生儿病死率9．7％。结论重视发病原因及临床表现，结合B超等辅助检查，有助于胎盘早剥的早期诊断。积极治疗妊娠期高血压疾病，避免外伤和胎膜早破是防治胎盘早剥的有效措施。
Objective To explore the early diagnosis of placental abruption and the control measures. Methods Retrospective analysis of our hospital from January 2001 to January 2011 during the 62 patients admitted to the placental abruption. Results Gestational hypertension, trauma and sexual intercourse, premature rupture of membranes for the three main causes;clinical manifestations of lumbar pain, vaginal bleeding, abnormal fetal heart rate and fetal movement, Palace board hard and tenderness, bloody amniotic fluid, etc. ; take natural childbirth 9 cases, seven cases of vaginal delivery, cesarean section 42 cases, hip midwifery 4 ;43 cases of postpartum hemorrhage,26 cases of uteroplacental apoplexy,4 routine hysterectomy; normal newborn delivery,31 cases of neonatal asphyxia,22 cases of fetal death in 3 cases, perinatal child death in 6 cases, perinatal child mortality 9.7%. Conclusion Emphasis on pathogenesis and clinical manifestations,combined with auxiliary B ultrasonic examination to help the early diagnosis of placental abruption. Aggressive treatment of hypertensive disorders in pregnancy, to avoid injury prevention and treatment of placental abruption and premature rupture of membranes is an effective measure.
出处
《中国基层医药》
CAS
2012年第2期189-190,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
胎盘早剥
妊娠并发症
Abruptio placenta
Pregnancy Complications
