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目的总结胎盘早剥的临床诊治体会,以供今后的临床工作参考。方法将我院妇产科2010年5月至2013年4月收治的胎盘早剥患者85例纳入本研究,根据胎盘早剥程度分组。A组为轻型胎盘早剥,B组为重型胎盘早剥。对比两组患者在产前确诊率、分娩方式、妊娠结局等方面的差异性。结果与A组对比,我们发现B组产前确诊率明显较高,剖宫产率较高,孕产妇和围产儿并发症发生率均较高,组间差异经统计学分析后认为有意义(P<0.05)。结论多数胎盘早剥发生时临床表现隐匿,应根据病史询问结合B超、胎心监护进行早期诊断,其中重型胎盘早剥产前易确诊,但妊娠结局较差,在今后的临床工作中应予以重视。
Objective To summarize the clinical diagnosis and treatment of placental abruption for clinical reference in the future. Methods 85 cases of placental abruption patients who were admitted to our hospital from May 2010 to April 2013 were included in the study and were divided into groups according to the degree of placental abruption. Group A was light placental abruption, Group B was severe placental abruption. The differences between the two groups in prenatal diagnosis rate, mode of delivery and pregnancy outcome were compared. Results Compared with group A, we found that the prenatal diagnosis rate in group B was significantly higher, the rate of cesarean section was higher, the incidence of maternal and perinatal complications was higher, and the difference between groups was significant after statistical analysis ( P <0.05). Conclusions Most of the placental abruption at the time of occult clinical manifestations should be based on history combined with B-ultrasound, fetal heart rate monitoring for early diagnosis, of which severe placental abruption prenatal diagnosis easily, but the pregnancy outcome is poor, in the future clinical work should be Pay attention.