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目的 通过 6 0例胎盘早剥的临床分析 ,探讨胎盘早剥的早期诊断及积极处理的重要性。方法 将6 0例胎盘早剥的发病诱因 ,症状、体征、分娩方式 ,母婴结局进行分析。结果 胎盘早剥发生率 0 78%。发病诱因以妊高征为首位 ,占 31 6 7% ;其次为催产素或米索前列醇等方法引产 ,占 1 8 33%。围产儿死亡率占 4 1 6 7%。腰腹痛及阴道流血为典型的临床表现。另外有隐匿性胎盘早剥 ,开始误诊为早产。结论 胎盘早剥对母儿生命威胁大 ,有产后大出血、子宫胎盘卒中、弥慢性血管内凝血 (DIC)、急性肾衰等并发症。早期诊断极为重要 ,确诊后应立即终止妊娠。
Objective To evaluate the early diagnosis and treatment of placental abruption through the clinical analysis of 60 cases of placental abruption. Methods The incidence of 60 cases of placental abruption incentives, symptoms, signs, mode of delivery, maternal and infant outcomes were analyzed. Results The incidence of placental abruption was 78%. The main cause of PIH was 31.67%. Followed by oxytocin or misoprostol and other methods of induced labor, accounting for 1833%. Perinatal mortality accounted for 41.67%. Abdominal pain and vaginal bleeding is a typical clinical manifestation. In addition there are occult placental abruption, misdiagnosed as premature birth. Conclusions The placental abruption is threatening the life of the mother and child, with postpartum hemorrhage, uterine placental stroke, diffuse intravascular coagulation (DIC) and acute renal failure. Early diagnosis is extremely important, and pregnancy should be terminated immediately after diagnosis.