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目的探讨了解妊娠期胎盘早破并发胎盘早剥时的早期诊断方法以及正确的治疗手段。方法回顾分析自2011年2月至2015年2月期间,在我院产科进行分娩的同时有胎盘早剥危险的病例共30人,发现其中由胎盘早破诱发胎盘早剥的有9人,将其与未发生胎盘早破的胎盘早剥病例进行分析比较,分析得出正确的早期诊断方法、治疗手段以及围生儿的救治结果。结果胎盘早破并发胎盘早剥占所有胎盘早剥诱因的30%,是诱发胎盘早剥的主要诱因,其中胎儿的死亡率为13.1%。其余原因及由非胎盘早破并发的胎盘早剥的发病率(0.33%),明显低于胎盘早破并发胎盘早剥的发病率(3.13%),两者比较差异显著(P<0.05),有统计学意义。结论胎盘早破是胎盘早剥的主要诱因,因此掌握正确的早期诊治特点对临床来说是十分重要的。
Objective To investigate the early diagnosis of placental premature pregnancy complicated with placental abruption and the correct treatment. Methods Retrospective analysis from February 2011 to February 2015 period, in our hospital obstetric delivery at the same time there are a total of 30 cases of the risk of placental abruption risk found in which caused by premature placental abruption, there are 9 people who will be The cases of placental abruption without premature rupture of the placenta were analyzed and compared, and the correct early diagnosis, treatment and perinatal treatment results were obtained. Results The percentage of premature placental abruption and placental abruption accounted for 30% of all causes of placental abruption, which was the main cause of placental abruption. The fetal mortality rate was 13.1%. The remaining causes and incidence of placental abruption complicated by non-placental premature rupture (0.33%) were significantly lower than those of placental abruption complicated with placental abruption (3.13%), the difference was significant (P <0.05) There is statistical significance. Conclusion Premature rupture of the placenta is the main cause of placental abruption. Therefore, it is of clinical importance to grasp the correct characteristics of early diagnosis and treatment.