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目的:对胎盘早剥的诱因、临床诊断和治疗方法进行分析探讨。方法:选取2012年6月~2014年6月在我院确诊为胎盘早剥的患者40例,对诱因、临床诊断和治疗方法进行分析探讨。结果:造成孕妇发生胎盘早剥的原因主要为慢性高血压(22.50%)、患有妊高症(15.00%)、胎膜早破(12.50%)、性生活史(12.50%)等,相比较无统计学意义(P>0.05)。胎盘早剥导致并发症中产后出血7例(15.00%)、子宫胎盘卒中6例(15.00%)、新生儿窒息8例(20.00%)、死胎3例(7.50%)。结论:造成胎盘早剥的因素可能为慢性高血压、妊高症、胎盘早破、性生活史等,患者可能出现产后出血、子宫胎盘卒中、新生儿窒息、死胎等。
Objective: To investigate the causes, clinical diagnosis and treatment of placental abruption. Methods: Forty patients with placental abruption diagnosed in our hospital from June 2012 to June 2014 were selected, and their causes, clinical diagnosis and treatment were analyzed. Results: The main causes of placental abortion in pregnant women were chronic hypertension (22.50%), pregnancy induced hypertension (15.00%), premature rupture of membranes (12.50%) and sexual life history (12.50%), No statistical significance (P> 0.05). 7 cases (15.00%) of postpartum hemorrhage caused by placental abruption, 6 cases of uterine placental stroke (15.00%), 8 cases of neonatal asphyxia (20.00%) and 3 cases of stillbirth (7.50%). Conclusion: The factors causing placental abruption may be chronic hypertension, pregnancy-induced hypertension, premature rupture of the placenta, sexual life history, etc. Patients may have postpartum hemorrhage, uterine placental stroke, neonatal asphyxia and stillbirth.