胎盘早剥早期诊断和处理  

The Early Diagnosis and Treatment of Placental Abruption

作　　者：彭晓鹰 侍庆[2] 

机构地区：[1]上海市瑞金医院集团闵行医院妇产科,201100 [2]上海市第二医科大学附属瑞金医院妇产科,200025

出　　处：《中国医药指南》2008年第23期17-18,共2页Guide of China Medicine

摘　　要：目的探讨胎盘早剥的病因,相关因素,总结早期诊断,处理的方法,降低围生儿死亡,改善母婴结局。方法对我院近5年来发生的胎盘早剥病例68例进行回顾性分析。结果胎盘早剥的发生率为0.42%,胎盘早剥多发生于外来人口,且一般无产前检查,孕期往往合并妊娠期高血压疾病且未经正规治疗,以腹痛、阴道流血为主要临床表现,并发DIC及凝血功能障碍7例,子宫切除5例,围生儿死亡18例。结论加强孕期保健,规范外来孕妇产前检查,及早发现和治疗妊娠期高血压疾病,可降低胎盘早剥的发生。重视胎盘早剥的诱因、临床症状及体征,可早期诊断胎盘早剥。一旦发现胎盘早剥,尽快终止妊娠,可改善母婴结局。Objective To evaluate the causes and the correlative influence factors of placental abruption and to aggregate the early diagnosis and treatment,so as to reduce perinatal death and improve the outcome of maternal and child.Methods We retrospectively studied 68 cases of placental abruption in our hospital during recent 5 years.Results The incidence of placental abruption was 0.42%.Most of placental abruption occurred in foreign population who had no prenatal care or hypertensive disorders in pregnancy without formal treatment during pregnancy.The main clinical performance of Placental abruption was abdominal pain and vaginal bleeding.There were 7 cases of Placental abruption with DIC and coagulation dysfunction,5 cases of hysterectomy and 18 cases of perinatal death. Conclusion Strengthening health care during pregnancy、Standardizing prenatal care、early detection and treatment of hypertensive disorders in pregnancy could reduce the occurrence of placental abruption.Attention to the clinical signs and symptoms of placental abruption could diagnose placental abruption earlier.Timely termination of pregnancy once a placental abruption could improve the outcome of maternal and child.

关 键 词：胎盘早剥 早期诊断 处理 

分 类 号：R714.2[医药卫生—妇产科学]