胎盘早剥63例临床分析
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【摘要】 目的旨在探讨胎盘早剥的诊断防治措施,降低母儿的死亡率。方法对1999年1月至2009年10月入院分娩的63例胎盘早剥进行回顾性分析。结果本组患者中,孕妇全部抢救成功,围产儿65例(2例双胎),死亡25例,占38.46%,其中8例分娩前胎死宫内。剖宫产44例,子宫次全切除2例。本组胎盘早剥的诱因,妊高征30例(47.62%),机械性因素11例(17.46%),脐带因素10例(15.87%),无明显诱因12例(19.05%)。结论胎盘早剥是妊娠晚期的急危重症,早期诊断,及时处理,可显著降低母儿死亡率。
【关键词】 妊娠 胎盘早剥
【中图分类号】 R574.8【文献标识码】 A【文章编号】 1674-0742(2011)04(b)-0021-02
Clinical Analysis of 63 Cases with Placental Abruption
WANG Peiqi
【Abstract】 Objective To study the diagonosis and treatment of placental abruption,decrease the perinatal morality.Methods 63 cases with placental abruption were analyzed restrospectively since 1999,1 to 2009,10.Results In 63 cases,all patients were survive,25 neonates died in 65 neonates(2 cases of twin pregancy),including 8 fetus died in uterus before delivery.Cesarean section was performed on 44 cases,hysterectomy was performed on 2 cases.In 63 cases,thefactors were showed that 30 cases caused by Pregnancy-Induced Hypertension Syndrome(47.62%),11 cases by mechanism factors(17 ......
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