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目的探讨妊娠晚期胎膜早破并发胎盘早剥的发生率、早期诊断和处理要点。方法回顾分析2005年1月—2008年3月连云港第一人民医院产科分娩的胎膜早破病例,其中并发胎盘早剥者7例,与非胎膜早破发生胎盘早剥者进行比较,分析早期诊断和母婴结局。结果3年分娩总数4500例,胎膜早破并发胎盘早剥者占全部胎盘早剥的22.6%,胎膜早破是胎盘早剥的常见发病诱因,尤其是早产胎膜早破,胎膜早破并发胎盘早剥的发生率2.69%,而非胎膜早破者为0.57%,两者相比差异有统计学意义(P<0.01),血性羊水、胎心异常、阴道流血为其常见的临床表现。该研究中4500例孕产妇无一例死亡。结论胎膜早破是胎盘早剥的诱因之一,重视临床,并结合B超、胎心监护有助于早期诊断,以降低母婴并发症。
Objective To investigate the incidence of premature rupture of membranes and placental abruption in early pregnancy, the main points of early diagnosis and treatment. Methods From January 2005 to March 2008, Lianyungang First People’s Hospital obstetric delivery of the cases of premature rupture of membranes, including 7 cases of placental abruption, and non-premature rupture of membranes were compared between premature rupture of membranes, analysis Early diagnosis and maternal and infant outcomes. Results 3 years the total number of deliveries 4500 cases of premature rupture of membranes complicated by placental abruption accounted for all placental abruption of 22.6%, premature rupture of membranes is a common cause of placental abruption incentives, especially premature rupture of membranes, premature rupture of membranes The incidence of concurrent placental abruption was 2.69%, but not premature rupture of membranes was 0.57%, the difference was statistically significant (P <0.01), bloody amniotic fluid, abnormal fetal heart rate, vaginal bleeding were common Clinical manifestations. In the study, 4,500 pregnant women died without one case. Conclusion Premature rupture of membranes is one of the causes of placental abruption. It emphasizes clinical practice and combines B-mode ultrasound and fetal heart rate monitoring in early diagnosis to reduce the complications of mother-infant.