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目的:分析引起胎盘早剥的相关因素,探讨早期诊断和治疗的方法。方法:回顾性分析本院1998年~2007年32例胎盘早剥病例的临床资料。结果:妊娠期高血压疾病、胎膜早破、脐带过短或绕颈与胎盘早剥的发生有关,腹痛、阴道流血、胎心异常是胎盘早剥的主要临床表现。结论:应积极预防和治疗引起胎盘早剥的相关因素;腹痛、阴道流血、血性羊水等临床表现及B超辅助检查有助于胎盘早剥的早期诊断;一旦确诊,应立即终止妊娠,以降低围产儿死亡率,改善母婴结局。
Objective: To analyze the related factors of placental abruption and explore the methods of early diagnosis and treatment. Methods: The clinical data of 32 cases of placental abruption in our hospital from 1998 to 2007 were retrospectively analyzed. Results: Hypertensive disorders in pregnancy, premature rupture of membranes, short umbilical cord or the occurrence of placental abruption around the neck, abdominal pain, vaginal bleeding and abnormal fetal heart rate are the main clinical manifestations of placental abruption. Conclusion: The related factors that cause placental abruption should be actively prevented and treated. The clinical manifestations such as abdominal pain, vaginal bleeding, bloody amniotic fluid, and B-ultrasound may be helpful for the early diagnosis of placental abruption. Once diagnosed, the pregnancy should be terminated immediately to reduce Perinatal mortality, improve maternal and infant outcomes.