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目的:研究胎盘早剥的妊娠结局及调查其母亲临床特点与新生儿不良结局关系。方法:回顾性研究评估发生于我院26例胎盘早剥的分娩。结果:将在本院收治的胎盘早剥病例26例,根据胎盘早剥对母亲的影响包括失血性休克(19.0%)、胎盘子宫卒中(14.2%)和DIC(9.5%)。对新生儿影响包括早产(56.3%)、重度新生儿窒息率(15.3%)和新生儿死亡率(15.3%)。妊娠期胎盘早剥高危因素包括妊娠期高血压、DIC、血液灌注改变。胎盘早剥中,母亲胎盘子宫卒中,新生儿重度窒息发生率明显增高。结论:胎盘早剥对母亲及新生儿影响极大,包括DIC、胎盘子宫卒中、新生儿重度窒息及新生儿死亡。妊娠期高血压,伴有胎盘子宫卒中,均发生新生儿重度窒息。对有发生胎盘早剥高危患者应加强监护,迅速分娩,并做好抢救母亲及新生儿准备。
Objective: To study the pregnancy outcome of placental abruption and to investigate the relationship between the clinical features of mothers and the unfavorable neonatal outcome. METHODS: A retrospective study was conducted to assess the delivery of 26 cases of placental abruption in our hospital. RESULTS: Twenty-six cases of placental abruption will be treated in our hospital and the impact on mothers under placental abruption includes hemorrhagic shock (19.0%), placental and uterine stroke (14.2%) and DIC (9.5%). Effects on newborns include preterm labor (56.3%), severe neonatal asphyxia (15.3%) and neonatal mortality (15.3%). High risk factors for gestational placental abortion include gestational hypertension, DIC, changes in blood perfusion. In placental abruption, maternal placental stroke and neonatal severe asphyxia were significantly higher. Conclusion: The placental abruption has a great impact on mothers and newborns, including DIC, placental and uterine stroke, severe neonatal asphyxia and neonatal death. Gestational hypertension, accompanied by placental and uterine stroke, were severe neonatal asphyxia. For patients with high risk of placental abruption should be strengthened monitoring, rapid delivery, and do a good job of rescue mother and newborn.