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目的探讨未足月胎盘早剥的发病原因及临床预后特点。方法 1994年1月—2014年9月煤炭总医院住院收治胎盘早剥患者156例,其中未足月胎盘早剥82例,足月胎盘早剥74例,对比二组患者的发病原因,临床表现和母婴结局。结果未足月胎盘早剥的新生儿重度窒息率和新生儿死亡率明显高于足月胎盘早剥组,差异有统计学意义(P<0.05)。而对比二组的发病原因、临床表现、新生儿轻度窒息、产后出血和DIC发生率及剖宫产率差异无统计学意义(P>0.05)。结论未足月胎盘早剥新生儿预后差,可行保守治疗,适当延长孕周,改善新生儿预后。
Objective To investigate the etiology and prognosis of unexplained placental abruption. Methods From January 1994 to September 2014, 156 cases of placental abruption were admitted to the General Hospital of Coal, including 82 cases of unexplained placental abruption and 74 cases of full-term placental abruption. The causes and clinical manifestations of the two groups were compared And baby ending. Results The rate of neonatal severe asphyxia and neonatal mortality in unexplained placental abruption was significantly higher than that in term placental abruption group (P <0.05). The incidence of the two groups compared the clinical manifestations, mild neonatal asphyxia, postpartum hemorrhage and DIC incidence and cesarean section rate difference was not statistically significant (P> 0.05). Conclusion The newborn infants with poor placental abortion have a poor prognosis and may be conservatively treated. The gestational age should be extended appropriately to improve the prognosis of neonates.