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目的 探讨胎盘早剥的早期诊断及正确处理。方法 对1997年至2002年86例胎盘早剥病例进行回顾性分析,按轻重分类。统计学上采用X~2检验及构成比。结果胎盘早剥发生率1.796％,轻型57例,占66.28％;重型29例,占33.72％。产前确诊率:轻型45.61％,重型86.21％。发病诱因:妊娠高血压综合症占46.51％,机械因素占24.42％。阵发性腰腹痛58.14％,胎心改变47.67％,阴道出血46.51％。围生儿死亡率:轻型15.79％,重型41.38％,平均是24.42％。平均产后出血率25.58％。结论 通过对胎盘早剥的诱因、临床表现、实验室检查综合分析,尽早做出诊断,立即终止妊娠,可以改善母儿预后。
Objective To investigate the early diagnosis and correct treatment of placental abruption. Methods A total of 86 cases of placental abruption from 1997 to 2002 were retrospectively analyzed, classified according to severity. Statistically using X ~ 2 test and composition ratio. Results The incidence of placental abruption was 1.796%, 57 cases were light, accounting for 66.28%, and 29 cases were heavy (33.72%). Prenatal diagnosis rate: 45.61% light, heavy 86.21%. The incidence of incentives: pregnancy-induced hypertension 46.51%, mechanical factors accounted for 24.42%. Paroxysmal abdominal pain 58.14%, fetal heart rate change 47.67%, 46.51% of vaginal bleeding. Perinatal mortality: light 15.79%, heavy 41.38%, an average of 24.42%. The average postpartum hemorrhage rate was 25.58%. Conclusion Through the induction of placental abruption, clinical manifestations, laboratory tests, a comprehensive analysis as soon as possible to make a diagnosis, immediately terminate the pregnancy, can improve maternal and child prognosis.