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目的探讨胎盘早剥产妇分娩方式的选择。方法回顾分析2010年1～12月在我院住院分娩的胎盘早剥患者111例的分娩方式。结果 111例胎盘早剥中,阴道分娩48例,占43.2%;剖宫产63例,占56.8%。Ⅰ度剖宫产率50%,Ⅱ度为76.2%,Ⅲ度为66.7%;妊娠36周以上者剖宫产率达88.9%;当发生胎盘早剥症状时宫口未开或宫口扩张≤3cm,剖宫产率达84.4%;无一例发生肾功能衰竭及孕产妇死亡。结论分娩方式的选择应根据病情严重程度、孕龄、产程进展情况及并发症等综合判断。
Objective To explore the choice of maternal delivery method for placental abruption. Methods Retrospective analysis of 111 cases of placental abruption in our hospital from January to December 2010 delivery method. Results 111 cases of placental abruption, vaginal delivery 48 cases, accounting for 43.2%; 63 cases of cesarean section, accounting for 56.8%. Ⅰ degree of cesarean section rate of 50%, Ⅱ degree was 76.2%, Ⅲ degree was 66.7%; cesarean section rate of more than 36 weeks of pregnancy 88.9%; when the occurrence of placental abruption symptom? 3cm, cesarean section rate of 84.4%; no case of renal failure and maternal deaths. Conclusion The choice of mode of delivery should be based on the severity of illness, gestational age, labor progress and complications and other comprehensive judgments.