摘要
目的探究妊娠期高血压疾病并发胎盘早剥的临床治疗效果。方法回顾性分析2015年10月—2018年10月期间本院收治的550例妊高症患者的临床资料,其中子痫前期患者500例,采取常规方法处理,重度子痫前期患者50例,经过B超检查后进行终止妊娠处理,观察50例重度子痫前期患者的分娩方式、临床表现及治疗结果。结果550例妊娠期高血压患者中子痫前期患者500例(90.91%),均未出现胎盘早剥现象,重度子痫前期患者50例(9.09%),并发轻度胎盘早剥患者35例,进行阴道分娩,并发重度胎盘早剥患者15例,接受剖宫产分娩,有2例胎死宫内,1例行子宫全切除治疗,无孕妇死亡。结论妊娠期高血压疾病并发胎盘早剥主要发生于重度子痫前期患者中,及时诊断发现妊娠期高血压并进行治疗能够有效降低胎盘早剥发生率,保证母婴健康及生命安全。
Objective To explore the clinical therapeutic effect of placental abruption in hypertensive during pregnancy.Methods The clinical data of 550 patients with pregnancy-induced hypertension admitted to the hospital from October 2015 to October 2018 were retrospectively analyzed.Among them,500 patients with preeclampsia were treated by conventional methods and 50 patients with severe preeclampsia were treated by termination of pregnancy after B-ultrasound examination.The delivery mode,clinical manifestations and treatment results of 50 patients with severe preeclampsia were observed.Results Among 550 hypertensive patients with pregnancy,500(90.91%)had preeclampsia without placental abruption,50(9.09%)had severe preeclampsia,35(9.09%)had mild placental abruption,vaginal delivery was performed,1 5(9.9%)had severe placental abruption,cesarean delivery was performed,2 cases died in utero,1 case underwent hysterectomy,and no pregnant woman died.Conclusion Hypertensive with placental abruption during pregnancy mainly occurs in patients with severe preeclampsia.Timely diagnosis and treatment of hypertensive during pregnancy can effectively reduce the incidence of placental abruption and ensure the health and life safety of mothers and infants.
作者
李红
LI Hong(Department of Obstetrics,Jinniu District Maternal and Child Health Hospital,Chengdu Sichuan 610081,China)
出处
《中国继续医学教育》
2019年第27期104-106,共3页
China Continuing Medical Education
关键词
妊高症
并发胎盘早剥
剖宫产
临床表现
治疗结果
母婴存活率
pregnancy-induced hypertension
combined with placental abruption
cesarean section
clinical manifestations
results of treatment
maternal and infant survival rate
