| 刘艳彬 张莉英.胎盘早剥68例临床分析[J].实用中西医结合临床,2006,(6):49-50 |
| 胎盘早剥68例临床分析 |
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| DOI： |
| 中文关键词: 胎盘早剥 诊断 分娩方式 临床分析 |
| 英文关键词: Placental abruption diagnosis delivery mode clinical analysis |
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| 中文摘要: |
| 目的：了解胎盘早剥的诱因、诊断及处理方法。方法：回顾分析总结我院近3年9个月内发生的胎盘早剥68例。结果：胎盘早剥的发生率为0.75%，其中早产、新生儿窒息率、死胎及死产的发生率较高；产妇产后出血率、DIC的发生率均较高，如抢救不及时，将危及产妇生命。结论：胎盘早剥与妊高征关系密切；重型胎盘早剥诊断有赖B超；胎盘早剥诊断成立，即应做凝血功能检查；如产妇未临产或短时间内不能经阴道分娩者应剖宫产终止妊娠；子宫卒中不是切除子宫的指征。 |
| 英文摘要: |
| Objective：To explore the etiology，diagnosis and management of placental abruption. Methods：68 cases of placental abruption who delivered in the obstetrics department of our hospital during rencent 3 years and 9 months were retrospectively reviewed. Results：The incidence of placental abruption was 0.75 %.In 68 placental abruption cases ,there was a high incidence about premature delivery,fetal death ,stillbirth, postpartum hemorrhage and DIC. If not timely medical treatment, placental abruption is the severe complication ,which fatally threatens maternal and fetal life. Conclusion：Hypertensive disorder complicating pregnancy concers placental abruption nearly. The diagnosis of severe placental abruption needs ultrasonography. Once the disease is diagnosed as placental abruption , the pregnency should be stopped and the Blood coagulation function Testing is necessary. Uterine apoplexy is not a absolute condition of total hysterectomy. |
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