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目的探讨胎盘早剥至新生儿死亡相关因素及临床预防措施,改善妊娠预后。方法回顾性分析2009年1月至2015年1月在原阳县中心医院分娩12例胎盘早剥至新生儿死亡患者的临床资料,分析影响妊娠结局及围产结局的相关因素,并与同期胎盘早剥非胎死宫内病例作对比。结果重度子痫前期、高血压病合并妊娠是重度胎盘早剥至胎死宫内的主要原因,胎盘早剥的确诊速度及症状发生后的治疗是否及时影响早剥的严重程度,夜间发病原因不确定的重度胎盘早剥也是不容忽视的因素。结论胎盘早剥至宫内死胎是产科的突发事件,严重危及母儿生命,早期识别及正确处理,影响母婴预后。
Objective To explore the factors related to the death of placenta from neonatal and clinical preventive measures to improve the prognosis of pregnancy. Methods The clinical data of 12 cases of placental abruption to neonatal death in Central Hospital of Yuanyang from January 2009 to January 2015 were retrospectively analyzed. The related factors affecting pregnancy outcome and perinatal outcome were analyzed and compared with those of the same period Stripping non-fetal death cases for comparison. Results Severe preeclampsia and hypertension complicated with pregnancy were the main causes of severe placental abruption to fetal death. The rate of diagnosis of placental abruption and the treatment after the occurrence of symptoms promptly affected the severity of early stripping. The cause of night etiology Determine the severe placental abruption is also a factor that can not be ignored. Conclusion The placental abruption to intrauterine stillbirth is an obstetrical emergencies, seriously endangering the mother’s life, early identification and correct treatment, affecting maternal and infant prognosis.