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目的探讨胎盘早剥的相关因素,以便早期诊断及时处理。方法回顾性分析我院10年间55例胎盘早剥病例。结果以腹痛为主要症状者子宫胎盘卒中的发生率明显大于以阴道流血为主要症状者,P<0.01。临床症状持续时间越长,胎盘早剥面积越大,子宫卒中发生率越高,差异有显著性,产后出血量也越多。结论积极预防和治疗有可能引起胎盘早剥的病因,特别是注意各种典型的妊高征,子宫肌瘤或腺肌瘤病史(尤其是胎盘附着部位肌瘤)以及外伤、催产等,特别警惕胎盘附着在后壁,症状不典型者。术中尽量采取各种止血、促宫缩处理,无效时应果断行子宫切除术。
Objective To explore the related factors of placental abruption in order to make early diagnosis and prompt treatment. Methods Retrospective analysis of 55 cases of placental abruption in our hospital during 10 years. Results The incidence of uterine placenta with abdominal pain as the main symptom was significantly higher than that with vaginal bleeding as the main symptom (P <0.01). The longer the clinical symptoms, the larger the area of placental abruption, the higher the incidence of uterine stroke, the difference was significant, the more the amount of postpartum hemorrhage. Conclusion The positive prevention and treatment may cause the cause of placental abruption, especially pay attention to all kinds of typical PIH, history of uterine fibroids or adenomyosis (especially placental attachment site fibroids), as well as trauma, oxytocin and so on, especially vigilance Placenta attached to the posterior wall, atypical symptoms. Intraoperative as possible to take a variety of hemostasis, and contractions, ineffective should be decisive line hysterectomy.