胎盘早剥45例临床分析  

Clinical Analysis of 45 Cases with Placental Abruption

作　　者：段振玲[1] 肖虹[1] 马润玫[1] 樊明祯[1] 

机构地区：[1]昆明医学院第一附属医院妇产科,云南昆明650032

出　　处：《昆明医学院学报》2008年第3期130-132,共3页Journal of Kunming Medical College

摘　　要：目的评价胎盘早剥的高危因素以及对母儿结局的影响.方法回顾分析我院收治的胎盘早剥患者45例.结果在13例重度胎盘早剥中,新生儿窒息9例,发生率为69.23%,围产儿死亡7例,发生率为53.85%,均高于轻度胎盘早剥组,差异有统计学意义(P<0.05).子宫胎盘卒中组中新生儿窒息、围产儿死亡的发生率分别为90%、70%,明显高于无卒中组,差异有统计学意义(P<0.05).重度胎盘早剥、子宫胎盘卒中组产后出血的发生率明显高于轻度胎盘早剥、无子宫胎盘卒中组,差异有统计学意义(P<0.01).结论胎盘早剥的程度及有无子宫胎盘卒中与母儿结局有密切关系,早期诊断、正确处理对母儿预后极为关键.Objective To explore the risk factors and outcome of placental abruption. Methods 45 cases with placental abruption were analyzed retrospectively from Jan. 1989 to Jun. 2001 in our hospital. Results The incidence rate of neonatal asphyxia and perinatal death was 69.23%, 53.85% in 13 patients with severe placental abruption, which were much higher than that of mild type （P 〈 0.05）. The incidence rate of neonatal asphyxia and perinatal death was 90%, 70% in patients with uteroplacental apoplexy, which were much higher than that of without uteroplacental apoplexy （P 〈 0.05）. Compared to patients with mild placental abruption and without uteroplacental apoplexy, the incidence rate of postpartum hemorrhage increased in cases with severe type and uteroplacental apoplexy （P 〈 0.05）. Conclusion There is close relationship between the degree of placental abruption and pregnant outcomes. Early diagnosis and treatment can improve maternal and fetal outcomes.

关 键 词：胎盘早剥 子宫胎盘卒中 临床分析 

分 类 号：R714.46[医药卫生—妇产科学]