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目的分析胎盘早剥的病因、并发症、诊断、分娩方式及妊娠结局。方法对41例临床确诊的胎盘早剥病例进行研究。结果胎盘早剥的发病率为0.8%。53.7%为初产妇。26.8%合并有妊娠高血压疾病。胎儿死亡率为24.4%。轻型与重型胎盘早剥在新生儿死亡方面无显著性差异(P(0.05),在分娩方式、死胎数、新生儿窒息数、正常新生儿数方面有显著性差异(P(0.05)。结论积极预防和治疗胎盘早剥的病因,注意妊娠期高血压疾病、外伤、胎膜早破等病因,及时诊断及正确处理,改善围生期母婴结局。
Objective To analyze the etiology, complications, diagnosis, mode of delivery and pregnancy outcome of placental abruption. Methods 41 cases of clinically diagnosed cases of placental abruption were studied. Results The incidence of placental abruption was 0.8%. 53.7% of primipara. 26.8% with pregnancy-induced hypertension. Fetal mortality rate was 24.4%. There was no significant difference in neonatal death between mild and severe placental abruption (P (0.05)), and there was a significant difference in terms of mode of delivery, number of stillbirth, number of neonatal asphyxia and number of normal newborns (P (0.05) Prevention and treatment of the causes of placental abruption, pay attention to pregnancy-induced hypertension, trauma, premature rupture of membranes and other causes, timely diagnosis and correct treatment to improve perinatal maternal and infant outcomes.