胎盘早剥48例临床分析  

Clinical Analysis of 48 Patients with Placental Abruption

作　　者：刘玉昆[1] 王振花[1] 黄佩贤[1] 刘梅兰[1] 张建平[1] 

机构地区：[1]中山大学孙逸仙纪念医院妇产科,510210

出　　处：《岭南急诊医学杂志》2012年第4期285-286,共2页Lingnan Journal of Emergency Medicine

摘　　要：目的:提高胎盘早剥的早期诊断和及时治疗,降低母儿并发症。方法:回顾性分析我院2006年1月～2011年6月诊治的48例胎盘早剥的临床资料。结果:胎膜早破、妊娠期高血压疾病、胎儿生长受限为胎盘早剥的重要高危因素。主要临床表现为腹痛、子宫张力大、阴道流血、子宫压痛、胎心异常、死胎、血性羊水等。剖宫产30例,阴道产18例,产妇发生产后出血9例,DIC 2例,行次全子宫切除术1例,无孕产妇死亡。新生儿轻度窒息11例,重度窒息5例,死胎3例。结论:胎盘早剥病因多,临床表现个体差异大,及早识别和处理是降低风险,提高母婴结局的关键。Objective： To improve the early diagnosis and treatment of placenta abrnption and decrease the maternal and fetal complications.Methods：The clinical data of 48 patients with placental abruption were retrospectively analyzed from Jan.2006 to Jun.2011. Results： Premature membrane rupture, pregnancy complicated hypertension, fetal growth restriction were the main risk factors. The main clinical presentations included abdominal pain, uterine hypertonus, vaginal bleeding, uterine tenders, abnormal fetal heart, fetal intrauterine death, bloody amniotic fluid and so on. 30 cases were delivered by cesarean section. 18 cases were delivered by vagina. Maternal complications included 9 cases of post partum hemorrhage, 2 cases of DIC and 1 case of subtotal hysterectomy. 11 newborns had mild asphyxia. 5 newborns had severe asphyxia. 3 cases complicated with fetal intrauterine death. Conclusions： The clinical presentation of placenta abruption varies widely. Early diagnosis and timely treatment are the keys to improve maternal and neonatal outcomes.

关 键 词：胎盘早剥 高危因素 诊断 妊娠结局 

分 类 号：R714.2[医药卫生—妇产科学]