不同程度胎盘早剥产妇所生新生儿的临床特征  

Clinical Pathology Character of the Newborns Given Birth by Various Degree Placental Abruption Mothers

作　　者：封志纯[1] 王斌[1] 陶少华[1] 黄为民[1] 毕军英[1] 

机构地区：[1]第一军医大学附属珠江医院儿科,广州510282

出　　处：《中华围产医学杂志》2001年第1期22-24,共3页Chinese Journal of Perinatal Medicine

摘　　要：目的　探讨和强调不同程度胎盘早剥产妇所生新生儿的临床特征和危险性。　方法　回顾对照分析 1994年 7月～ 1998年 6月本科收治的 141例不同程度胎盘早剥产妇所生新生儿的临床资料。　结果　胎盘早剥产妇所生新生儿中早产儿为 94.3% ,低出生体重儿为 80 .9% ,窒息儿为79.4% ;入院时缺氧缺血性脑病 (HIE)为 6 3.1% ,心肌损害为 5 6 .0 % ,休克为 5 6 .7% ,贫血为 6 1.7% ,弥漫性血管内凝血 (DIC)为 83.0 % ,酸中毒为 6 6 .0 % ,呼吸窘迫综合征 (RDS)为 5 0 .4% ,呼吸暂停为5 1.1% ,均在 5 0 %以上。母胎盘早剥轻型组与重型组之间 ,入院日龄、性别、产式、胎龄、出生体重例数分布差异无显著意义 ,但各病症检出率均以重型组为高。其中窒息儿主要是重度窒息 ,检出率以重型组为高 ;DIC中 ,高凝期检出率以轻型组为高 ,低凝期检出率以重型组为高 ;轻型组新生儿中各相关危重症检出率虽然较重型组显著为低 ,但也分别达 43.4%～ 77.4%。　结论　印证了上述病症是胎盘早剥产妇所生新生儿的临床特征 ;表明了重型胎盘早剥产妇所生新生儿病情更复杂、更严重 ,但轻型产妇所生新生儿也具一定危险性 ,均应引起高度重视。Objective To Study the clinical pathology character and dangerousness of the newborns given birth by placental abruption mothers (NPAM). Method 141 NPAMs in our department during July 1994 to June 1998 were reviewed and analysed. Results More than 50% NPAMs suffer from complications including premature (94.3%), low birth weight (80.9%), asphyxia ( 79.4% ), HIE (63.1%), myocardial lesion (56.0%), shock (56.7%), anemia (61.7%), DIC ( 83.0% ), acidosis (66.0%), RDS(50.4%) and apnea (51.1%). The percentages of these in NPAMs of sever placental abruption mothers (group S) are higher than that of light ones (group L). In details, there are more sever asphyxia in group S, and there are more patients of high coagulated DIC period in group L while more patients of low coagulated period in group S, neonates in group L have significantly less correlated risky symptoms (43.4%～77.4%). Conclusion The complications discussed are clinical pathology characters of NPAMs. Though NPAMs of sever placental abruption mothers are in worse situation, NPAMs of light placental abruption mothers also need to pay attention to.

关 键 词：新生儿 胎盘早剥 临床特征 危险性 

分 类 号：R722.19[医药卫生—儿科]