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目的减少孕产妇的并发症，降低围产儿的死亡率。方法严密观察胎盘早剥的症状、体征，及时识别，准确的评估病情，快速纠正休克，采取适当的分娩方式，终止妊娠。结果257例胎盘早剥患者全部存活，围产儿死亡5例，其中1例I I度胎盘早剥致胎死宫内，2例孕<28周孕及2例早产均因产后出血休克，胎儿窘迫，出生后新生儿评分均在7分以下抢救无效死亡。结论采取一系列有效的护理措施，能有效减少孕产妇的并发症，降低围产儿的死亡率。“,”Objective To reduce complications of the maternal and the mortality of perinatal infants. Methods The symptoms and signs of placental abruption was closely observed. Patients conditions were identified in time and accurately assessed. Shock was quickly corrected, and the pregnancy was terminated by appropriate way. Results 257 patients of placental abruption were all survived, and 5 infants died, including 1 case intrauterine fetal death caused by III degree placental abruption, 2 cases caused by pregnancy < 28 weeks. 2 mortality caused by premature delivery, postpartum fetal distress and Apgar < 7. Conclusion Complication of maternal and mortality of perinatal infants could be significantly reduced by effectively nursing.