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目的探讨重度子痫前期并发胎盘早剥的临床分析。方法选取我院2015年1月至2016年1月收治的重度子痫前期患者36例的临床资料进行回顾性分析,将其中伴有胎盘早剥患者18例设为实验组,将未伴有胎盘早剥的患者18例设为对照组;观察并比较两组患者分娩方式及早产率、临床症状及实验室检查指标、妊娠结局等。结果实验组患者早产率明显高于对照组(P<0.05);实验组患者产前胎儿窘迫、血性羊水等临床症状发生率明显高于对照组(P<0.05);将两组患者妊娠结局中死胎、新生儿窒息、胎盘卒中、子宫切除、失血性休克的发生率进行比较,差异有统计学意义(P<0.05)。结论重度子痫前期并发胎盘早剥对母婴结局有重大的影响,对重度子痫前期的孕妇给予高度重视,若并发胎盘早剥,应争取时间尽快终止妊娠,必要时可采取子宫切除,挽救孕妇的生命。
Objective To investigate the clinical analysis of severe preeclampsia complicated with placental abruption. Methods The clinical data of 36 patients with severe preeclampsia who were treated in our hospital from January 2015 to January 2016 were retrospectively analyzed. 18 patients with placental abruption were selected as the experimental group, and the patients without placenta Eighteen patients were divided into control group. The mode of delivery, premature delivery rate, clinical symptoms, laboratory indexes and pregnancy outcome were observed and compared between the two groups. Results The preterm birth rate in the experimental group was significantly higher than that in the control group (P <0.05). The incidences of prenatal fetal distress, bloody amniotic fluid and other clinical symptoms in the experimental group were significantly higher than those in the control group (P <0.05) The incidence of stillbirth, neonatal asphyxia, placental stroke, hysterectomy and hemorrhagic shock were statistically significant (P <0.05). Conclusions Severe preeclampsia complicated by placental abruption has a significant impact on the outcomes of both mother and baby, and attaches great importance to pregnant women with severe preeclampsia. If complicated with placental abruption, pregnancy should be terminated as soon as possible and hysterectomy may be taken if necessary Pregnant woman’s life.