100例胎盘早剥患者临床特点及妊娠结局  

The clinical features and pregnancy outcomes about 100 placenta abruption patients

作　　者：张丽丽[1] Zhang Lili(Department of Gynecology and Obstetrics in North District of Suzhou Hospital Affiliated NanJing Medical University, Suzhou Jiangsu, 215000, China)

机构地区：[1]苏州市立医院北区妇产科,江苏苏州215000

出　　处：《中外女性健康研究》2022年第6期5-6,102,共3页Women＇s Health Research

摘　　要：目的:通过对本院分娩的胎盘早剥患者的临床资料进行回顾性分析,为临床诊疗提供更多的参考。方法:随机收集本院分娩的胎盘早剥患者临床资料100例,对其合并症、临床表现和妊娠结局进行统计分析和相关检验。结果:100例胎盘早剥患者,合并胎膜早破25例、子宫肌瘤4例、妊娠期高血压疾病6例、脐带绕颈或过长6例、性生活史1例。临床出现血性羊水73例、胎心异常25例、阴道流血41例,行超声检查29例,超声阳性率为89.7%。最终剖宫产78例、平产22例,早产16例、子宫胎盘卒中8例、产后出血13例、新生儿窒息7例。61例胎盘剥离面积<30%、17例胎盘剥离面积30%~50%、13例胎盘剥离面积>50%。胎盘剥离面积与住院天数、出血量正相关,与分娩孕周、新生儿体质量、Apgar1,和5,评分呈负相关。结论:孕周小、新生儿体质量轻者,胎盘剥离面积较大,新生儿窒息发生率高,且母体出血量多,住院时间长。重视胎盘早剥发生的高危因素,加强胎膜早破患者的监管,对于血性羊水、阴道出血尤其是宫缩强烈、胎心异常者,需尽早识别胎盘早剥,及时正确处理可避免不良妊娠结局。Objective:By retrospectively analyzed clinical data on placenta abruption patients who delivered in our hospital,to provide more reliable clinical reference to diagnosis and treatment.Methods:Randomly collected 100 cases clinical data on placenta abruption patients given birth in our hospital,then carried out statistical analysis and autocorrelation test on complications、clinical manifestations and pregnancy outcomes.Results:100 cases placenta abruption patients,complicated by premature abrupture of membranes 25 cases,myoma of uterus 4 cases,hypertensive disorders in pregnancy 6 cases,umbilical cord around neck or too long 6 cases,sexual life history 1 case.Placenta abruption patients occurred bloody amniotic fluid 73 cases,abnormal fetal heartbeat 25 cases,vaginal bleeding 41 cases,ultrasound examination 29 cases and the positive ratio was 89.7%,ultimately executed cesarean section 78 cases,parturition delivery 22 cases,premature delivery 16 cases,uteroplacental apoplexy 8 cases,postpartum hemorrhage 13 cases,asphyxia neonatorum 7 cases.The patients with placenta abruption area<30%was 61 cases,17 cases with placenta abruption area 30%~50%,and 13 cases with placenta abruption area>50%.The area of placenta abruption had positive correlation with the length of hospital stay and blood loss,had negative correlation with gestational age of delivery,the weight of newborn and Apgar score.Conclusion:The patients with small gestational weeks,low birthweight,larger area of placenta abruption,happened a high asphyxia neonatorum ratio,and the maternal happened bleeding more,longer of hospital stay.Pay attention to the high risk factors of placenta abruption,enhance supervision premature rupture of membranes patients,for those with bloody amniotic fluid、vaginal bleeding especially uterine contraction or abnormal fetal heartbeat,recognized placenta abruption as soon as possible,handle in time and correctly to avoid adverse pregnancy outcomes.

关 键 词：胎盘早剥 子宫胎盘卒中 新生儿窒息 

分 类 号：R714[医药卫生—妇产科学]