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目的:探讨胎盘早剥与子宫卒中的相关因素。方法:对74例胎盘早剥临床资料进行回顾性分析。结果:子宫卒中组胎盘附着于后壁26例,前壁12例;无子宫卒中组胎盘附着后壁12例,前壁24例。两组胎盘附着后壁与前壁例数比较、确诊平均时间比较差异均有统计学意义(P<0.01)。结论:后壁胎盘早剥缺乏典型临床表现,延误诊断时机易导致子宫卒中。子宫卒中首选子宫切除是过急行为,保留子宫益于日后身心健康。
Objective: To explore the related factors of placental abruption and uterine stroke. Methods: The clinical data of 74 cases of placental abruption were analyzed retrospectively. Results: There were 26 cases of posterior wall and 12 cases of anterior wall in placenta of the uterine stroke group. There were 12 cases of posterior wall and 24 cases of anterior wall in the non-uterine stroke group. The number of posterior wall and anterior wall of the placenta attached to the two groups were compared, the mean time of diagnosis was statistically significant (P <0.01). Conclusion: The posterior wall placental abruption lack of typical clinical manifestations, delayed diagnosis of occasional lead to uterine stroke. Uterine hysterectomy is the first choice for hysterical behavior, to retain the womb beneficial to the future physical and mental health.