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目的:探讨胎盘早剥的分娩方式的选择。方法:回顾分析1999-12～2004-12在本院分娩的胎盘早剥患者70例。结果:胎盘早剥70例中阴道分娩38例,占54.29%(38/37),剖宫产32例,占45.71%(32/70),其中轻型胎盘早剥47例,重型胎盘早剥23例,并发DIC6例,产后大出血8例,急性肾衰4例,新生儿窒息8例,胎儿宫内死亡1例。结论:胎盘早剥危及母婴生命,其预后与处理的及时性密切相关,根据患者病情轻重、出血量、胎儿情况、孕龄、合并症、产程进展而采用不同的处理方式,一旦确诊重型胎盘早剥,必须及时终止妊娠。
Objective: To explore the choice of delivery mode of placental abruption. Methods: Retrospective analysis of 70 cases of placental abruption in our hospital from December 1999 to December 2004. Results: Among 70 cases of placental abruption, 38 cases were vaginal delivery, accounting for 54.29% (38/37), 32 cases were cesarean section (45.71%), including 47 cases of mild placental abruption and 23 cases of severe placental abruption Cases, concurrent DIC6 cases, 8 cases of postpartum hemorrhage, acute renal failure in 4 cases, 8 cases of neonatal asphyxia, fetal intrauterine death in 1 case. Conclusions: The risk of placental abortion and maternal and infant life-threatening, the prognosis is closely related to the timeliness of treatment, according to the severity of illness, bleeding, fetal status, gestational age, comorbidities, labor progress and the use of different treatment methods, once diagnosed with severe placenta Stripping, termination of pregnancy must be promptly terminated.