胎盘早剥56例临床分析
胎盘早剥56,,胎盘早剥；高血压，妊娠性；诊断,1资料与方法,2结果,讨论,【参考文献】
【摘要】 目的 探讨发生胎盘早剥的诱因、临床表现、对母婴预后的影响及早期诊断要点。方法 回顾性分析我院2001年1月～2005年6月收治的11864例分娩病人中56例胎盘早剥患者的临床资料。结果 妊娠高血压综合征(妊高征)是导致胎盘早剥的主要诱因，占50.0%，与其他诱因比较差异有显著性(P<0.05),重型胎盘早剥患者中发生子宫胎盘卒中者13.3%，DIC 10.0%，产后出血53.3%，新生儿窒息43.3%，围产儿死亡6.7%，与轻型胎盘早剥患者比较差异有显著性(P<0.05)，死胎2例，死产0例，B超对轻型胎盘早剥误诊、漏诊率76.9%，重型则为43.3%。结论 胎盘早剥的主要诱因是妊高征，它对母婴危害极大，特别是重型胎盘早剥，应尽早诊断，尽快处理，以降低孕产妇的并发症，减少死胎死产几率。【关键词】 胎盘早剥；高血压，妊娠性；诊断
Clinical analysis of 56 cases of placenta abruption
WANG Ai-tao,WANG Ling-ping.
Department of Obstetrics and Gynecology,Qishi Hospital，Dongguan 523500,China
【Abstract】 Objective To research the etiology of abruptio placentae and the clinical characteristic and find the early diagnosis and management.Methods We reviewed 56 cases of abruptio placentae from Jan.2001 to Jun 2005.Results Pregnancy-induced hypertension was the main cause of abruptio placentae accounting for 50.0% with significant difference from other causes (P<0.05).The accident rate of placental apolexy in severe abruptio placentae was 13.3% while DIC,postpartum haemorrhagia,neonatal asphyxia and perinatal mortality was 10.0%,53.3%,43.3% and 6.7% respectively,which were all higher statistically than those in mild abruptio placentae (P<0.05).The rate of missed diagnosis by B-ultrasonography for mild abruptio placentae was 76.9% and for severe was 43.3%(P<0.05).Conclusion Its helpful to diagnose early placental abruption by clinical symptoms and B ultrasound.The early management can decrease the mortality of pregnancy and perinatal. ......
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