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目的探讨急诊绿色通道抢救性快速结束分娩对重型胎盘早剥母婴安全的重要性及价值。方法回顾性分析46例重型胎盘早剥患者,在急诊绿色通道抢救性快速结束分娩者为观察组(28例);非急诊绿色通道结束分娩者为对照组(18例)。比较两组母婴并发症发生情况及预后。结果两组均无孕产妇死亡,观察组死胎1例,对照组死胎3例;观察组与对照组孕产妇发生凝血功能障碍、子宫胎盘卒中、产后出血、急性肾功能衰竭、多器官功能障碍、子宫次全切除、全宫切除出现的情况,以及围产儿发生死胎、重度窒息、凝血功能障碍、贫血、吸入综合征、高乳酸血症性酸中毒、缺血缺氧性多器官功能障碍的情况,差异均具有统计学意义(P<0.05)。结论重型胎盘早剥发病凶险,并发症严重威胁母婴生命。急诊绿色通道抢救性快速结束分娩,提高了孕产妇、围产儿生存率和生活质量,有效保障母婴安全。
Objective To explore the importance and value of emergency green channel salvage rapid termination of delivery in the safety of mother and infant with severe placental abruption. Methods A total of 46 patients with severe placental abruption were retrospectively analyzed. Among those who underwent emergency salvage, emergency delivery was performed in the observation group (n = 28), those in the non-emergency green channel (n = 18). The incidence and prognosis of both maternal and infant comparisons were compared. Results There was no maternal death in either group. One case of stillbirth in observation group and three cases of stillbirth in control group were observed. The coagulation dysfunction, uterine placental stroke, postpartum hemorrhage, acute renal failure, multiple organ dysfunction, Subtotal hysterectomy, hysterectomy, and stillbirth, severe asphyxia, coagulopathy, anemia, inhalation syndrome, hyperlactic acidosis, hypoxic-ischemic multiple organ dysfunction , The differences were statistically significant (P <0.05). Conclusion Severe placental abruption is dangerous and the complication threatens maternal and infant life seriously. Emergency green channel rescue quickly end childbirth, improve the maternal, perinatal survival rate and quality of life, effectively protect the safety of mothers and babies.