98例胎盘早剥临床分析  

Clinical Analysis on 98 Cases of Placental Abruption

作　　者：程志霞[1] 胡国玲[1] 郭靖[1] 

机构地区：[1]西安市红十字会医院妇产科,710054

出　　处：《美中国际创伤杂志》2012年第3期25-27,共3页U.S.Chinese International Journal of Traumatology

摘　　要：目的：探讨胎盘早剥的病因、诊断及处理。方法：对98例胎盘早剥进行回顾性分析，分别记录各组病因、临床症状及体征、分娩方式、产后出血量和病死率。结果：本组病例平均失血量392．50毫升，42例出现失血性休克，输血74例，占75．5％；围产儿死亡率26．5％。结论：对胎盘早剥，要注意早期识别，动态观察，重视患者主诉，加强胎儿监测，及时诊断处理，降低母儿围产期病死率。Objective： To investigate the etiology, diagnosis and treatment of premature separation of placenta. Methods： The etiology, clinical symptoms and signs, delivery modalities, amount of postpartum hemorrhage and case fatalities of 98 patients with premature separation of placenta were analyzed retrospectively. Results： The average blood loss was 392.50ml. Hemorrhagic shock occurred in 42 cases and blood transfusion was carried out on 74 eases （75.5%）. Perinatal mortality rate was 26.5%. Conclusion： For cases of premature separation of placenta, early recognization, dynamic observation, close fetal monitoring and timely diagnosis and management can reduce the maternity and newborn fatality on perinatal period.

关 键 词：妊娠晚期 胎盘早剥 围产儿 失血性休克 

分 类 号：R714.43[医药卫生—妇产科学]