子痫前期并发胎盘早剥的临床分析  

Clinical analysis of placental abruption complicated by preeclampsia

作　　者：江庆霖[1] 周辉[1] 刘德顺[1] 

机构地区：[1]成都市妇幼保健院产科,四川成都610032

出　　处：《四川医学》2009年第10期1569-1571,共3页Sichuan Medical Journal

摘　　要：目的探讨子痫前期并发胎盘早剥的诊断、早期处理及其预后。方法回顾性分析子痫前期并发胎盘早剥者25例(A组)与同期的子痫前期未发生胎盘早剥者86例(B组)的临床资料;对比两组发生失血性休克、凝血功能障碍、胎死宫内、胎儿窘迫、新生儿窒息、子宫切除等并发症情况。结果两组间有明显的差异,A组明显大于B组,P<0.05;距胎盘早剥发生8h内结束分娩者(20例)死胎、产后出血量、凝血功能障碍、新生儿窒息的发生率明显低于超过8h者,P<0.05。结论子痫前期是胎盘早剥发生的主要高危因素,胎盘早剥是子痫前期的重要并发症,早期预防、早期诊断、早期处理是改善母子结局的关键。Objective To study the early diagnosis,proper treatment and the outcome of placental abruption complicated by preeclampsia. Methods The clinical data of 25 cases placental abruption with complicated by preeclampsia （ group A） and 86 cases preeclampsia without placental abruption at the same time （group B） were analyzed retrospectively. Results There was statistical significant difference between the two groups complications ,group A〉group B significantly（ P〈0.05 ） ; The major complications were hemorrhage shock, coagulation defects fetal death, fetal distress, neonatal asphyxia, hysterectomy. The rates of fetal death, postpartum hemorrhage, coagulation defects, fetal distress of the time no more than 8 hours （ 20 cases） placental abruption occured to the labor finished were lower significantly than that beyond 8 hours （P〈0. 05 ）. Conclusion Preeelampsia was the main dangerous factor of placental abruption;placental abruption was the serious complication of preeclampsia. The early preven- tion, early diagnosis, proper treatment were the key to improving the outcome.

关 键 词：子痫前期 胎盘早剥 早期诊断 并发症 

分 类 号：R714.245[医药卫生—妇产科学] R714.56[医药卫生—临床医学]