75例胎盘早剥母婴围产结局  

Perinatal outcomes on 56 cases of abruptio placentae

作　　者：刘民甫[1] 

机构地区：[1]四川省医学科学院附属医院,四川简阳641400

出　　处：《四川医学》2008年第10期1374-1375,共2页Sichuan Medical Journal

摘　　要：目的探讨胎盘早剥产前诊断和处理。方法回顾性分析1997年1月-2007年1月我院收治的胎盘早剥患者75例。结果妊高征、胎膜早破为其重要诱因。产前诊断率42．67％，B超检出率37．25％。患者并发产后出血（17．33％）、休克（19．35％）、DIC（6．67％）、子宫胎盘卒中（13．33％）。围产儿死亡率22．67％，无孕产妇死亡。结论产前诊断胎盘早剥需结合诱因、临床表现、体征、B超等全面考虑，确诊后应采取积极有效措施改善母婴围产结局。Objective To explore the prental diagnosis and treatment of abruptio placentae.Methods A retrospective analysis was done in 75 in-patient of abmptio placentae from Jan 1999 to Jan 2005. Results PHI and PROM were the important predisposing causes for, abruptio placentae The prental diagnosis accuracy was 42.67% and the positive predictive value of type-B ultrasonic was 37.25 % . The perlnatal mortality was 22.67 %, and the maternal mortality was 0. Postpartum hemorrhage （ 17.33 % ）, shock （ 19.35 % ）, DIC（6.67% ） ,uteroplacental apoplexy（ 13.33% ） were commonly encountered diseases. Conclusion Comprehensive analysis with predisposing factors, clinical symptoms and assistant examinatio such as type-B ultrasonic are necessary for the prenatal diagnosis of abruptio placenta. After diagnosis confirmed, positive measures should be taken to improve the perinatal outcomes of mothers and infants.

关 键 词：胎盘早剥 产前诊断 围产结局 

分 类 号：R714.56[医药卫生—妇产科学]