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目的探讨不典型胎盘早剥的临床特点及对母婴结局的影响。方法将2008年1月~2014年1月本院收治的52例胎盘早剥患者,随机分为观察组15例(不典型-产前疑似产后确诊及术中或产后检查胎盘发现)和对照组37例(典型-产前确诊),对比两组患者发病诱因及对母婴结局的影响。结果两组高血压疾病、胎膜早破、羊水过多、外伤及不明原因等引起胎盘早剥的原因相比差异具有统计学意义(P<0.05);两组产后出血、新生儿轻度窒息和重度窒息发生率相比差异具有统计学意义(P<0.05)。结论应注重胎盘早剥发病诱因,做好预防措施,及早诊断并治疗,防止不典型胎盘早剥症状的进一步发展,有效改善母婴结局。
Objective To investigate the clinical features of atypical placental abruption and their effects on maternal and infant outcomes. Methods From January 2008 to January 2014, 52 cases of placental abruption admitted to our hospital were randomly divided into observation group (atypical - prenatal suspected postpartum diagnosis and intraoperative or postnatal placenta) and control group 37 cases (typical - prenatal diagnosis), compared the incidence of two groups of patients and maternal and child outcomes. Results There were significant differences in the causes of placental abruption between hypertensive disorders, premature rupture of membranes, excessive amniotic fluid, trauma and unexplained causes (P <0.05). Postpartum hemorrhage, mild neonatal asphyxia Compared with the incidence of severe asphyxia, the difference was statistically significant (P <0.05). Conclusions Should pay attention to the causes of placental abruption, preventive measures, early diagnosis and treatment to prevent the further development of atypical placental abruption symptoms, effectively improve the outcome of maternal and infant.