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目的:探讨妊高症并发胎盘早剥的临床诊治措施,为妊高症合并胎盘早剥的临床治疗提供参考。方法:回顾性总结分析我院在2011年3月至2013年1月期间收治的22例妊高症并发胎盘早剥产妇的临床病例资料,总结产妇的临床治疗措施以及治疗效果。结果:上述22例高危妊娠产妇在经过我院住院治疗后,其中6例自然分娩,16例进行剖宫产。3例产妇出现死胎;8例高血压高危妊娠产妇经过治疗后病情基本稳定,生产顺利,母子平安。1例患者出现肾衰,2例患者出现弥散性血管内凝血,有5例患者出现产后出血,胎儿宫内窘迫3例。结论:娠高血压综合征合并胎盘早剥产妇的治疗工作在患者的病程以及生产结局都有着重要影响,及时有效的治疗措施在妊高症并发胎盘早剥产妇的康复过程中起到相当重要的作用。
Objective: To investigate the clinical diagnosis and treatment of pregnancy-induced hypertension complicated with placental abruption and provide reference for clinical treatment of pregnancy-induced hypertension complicated with placental abruption. Methods: The clinical data of 22 cases of pregnancy induced hypertension complicated with placental abruption admitted from March 2011 to January 2013 in our hospital were retrospectively summarized. The clinical treatment measures and therapeutic effects of the women were summarized. Results: The above 22 cases of high-risk pregnant women after hospitalization in our hospital, of which 6 cases of natural childbirth, 16 cases of cesarean section. 3 cases of mothers stillbirth; 8 cases of high blood pressure pregnant women at high risk of pregnancy after treatment basically stable condition, the production is smooth, mother and child safe. One patient had renal failure, two patients had disseminated intravascular coagulation, five patients had postpartum hemorrhage, and three had fetal distress. Conclusion: The treatment of pregnant women with hypertensive syndrome complicated with placental abruption has an important influence on the course of disease and the outcome of the patients. The timely and effective treatment measures play an important role in the rehabilitation of pregnant women with placental extirpation effect.