9例胎盘早剥合并死胎的分娩方式的临床分析  

A clinical analysis of delivery patterns in qcases of placental abruption associated with fetal death

作　　者：刘菊红[1] 王琪[1] 张为远[1] 崔满华[2] 

机构地区：[1]首都医科大学附属北京妇产医院产科,北京100026 [2]吉林大学第二医院妇产科,吉林长春130041

出　　处：《中国妇幼健康研究》2010年第4期538-541,共4页Chinese Journal of Woman and Child Health Research

基　　金：首都医学发展科研基金资助项目（2005-2011）

摘　　要：目的 探讨胎盘早剥合并死胎的分娩方式.方法 回顾性分析首都医科大学附属北京妇产医院2007年7月～2009年3月收治的9例胎盘早剥合并死胎病例.结果 9例病例均首选阴道分娩,在做出诊断并充分交待病情后均送入产房严密监护,未临产或产程中宫缩减弱者予以引产术,只1例因失血性休克、弥漫性血管内凝血以剖宫产结束妊娠.结论 胎盘早剥合并死胎时,需严密监测孕妇的生命体征、腹部体征、凝血功能,在向家属充分交待病情同时做好术前准备的基础上,首选阴道分娩,并无须限定分娩时间.Objective To explore delivery patterns for placental abruption associated with fetal death. Methods The clinical data of 9 cases of placental abruption associated with fetal death treated in our hospital from July, 2007 to March, 2009 were retrospectively analyzed. Results 9 pregnant women all firstly chose vaginal delivery. The pregnant women were sent to the delivery room to be monitored closely after the diagnosis was made and were told their conditions sufficiently. And those patients without onset of labor or with decreased uterine contraction （uterine inertia） underwent induced labor, but only one patient＇ s pregnancy was terminated by caesarean section due to hemorrhagic shock and disseminated intravascular coagulation （DIC）. Conclusion Those pregnant women who are diagnosed as placental abruption associated with fetal death should be monitored closely for vital signs, abdominal signs and coagulation functions. Vaginal delivery is the first choice without strict restriction in delivery time after sufficiently telling the patient＇ s condition to the family members and getting ready for operation.

关 键 词：胎盘早剥 死胎 阴道分娩 剖宫产 引产 

分 类 号：R71[医药卫生—妇产科学]