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[目的]探讨和强调胎盘早剥产妇所生新生儿的临床病理特征和危险性。[方法]回顾对照分析1994年7月至1998年6月本科收治的141例胎盘早剥产妇所生新生儿的临床资料。[结果]胎盘早剥所生新生儿中早产儿为94.32%,低出生体重儿为80.85%,窒息儿为79.43%;入院时HIE为63.12%,颅内出血为31.91%,心肌损害为56.03%,心力衰竭为41.84%,休克为56.74%,贫血为61.70%,DIC为82.98%,酸中毒为65.96%,硬肿症为64.54%,RDS为50.35%,呼吸暂停为51.06%。其中,除硬肿症外的上述所有病症检出率在重型胎盘早剥产妇所生新生儿组显著高于轻型组。[结论]提示成熟度低、缺血缺氧、失血和凝血功能障碍为胎盘早剥产妇所生新生儿的临床病理特征,严重威胁新生儿生命安全,建议应将胎盘早剥产妇所生新生儿单列为病因诊断,突出强调以引起临床产、儿科医师高度重视。
[Objective] To investigate and emphasize the clinicopathological characteristics and risk of neonatal newborn born by placental abruption. [Methods] The clinical data of 141 newborns born during placental abruption from July 1994 to June 1998 were retrospectively analyzed. [Results] The percentage of premature infants born in placental abruption was 94.32%, that of low birth weight infants was 80.85% and that of asphyxia was 79.43%. The admission HIE was 63.12%, intracranial hemorrhage was 31.91%, and myocardial damage was 56.03 %, Heart failure 41.84%, shock 56.74%, anemia 61.70%, DIC 82.98%, acidosis 65.96%, scleredema 64.54%, RDS 50.35%, apnea 51.06%. Among them, the detection rate of all above diseases except scleredema was significantly higher in neonates born to severe placental abruption maternal than those in light group. [Conclusion] The results suggest that the low maturity, hypoxia and hypoxia, blood loss and coagulation dysfunction are the clinicopathological features of neonates born by placental abortion, which threaten the life safety of neonates. It is suggested that newborn infants born by placental abruption Single as the cause of diagnosis, highlighting to cause clinical production, paediatricians attach great importance.