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目的:探析胎盘早剥原因及其对母婴的影响。方法:选取某妇幼保健院自2008年1月至2012年12月收治的46例胎盘早剥患者,对患者的病例资料进行回顾性分析,以分析患者胎盘早剥的原因和影响。结果:选取的46例胎盘早剥孕产妇患者中,胎盘Ⅰ度早剥患者所占比率约为11%,Ⅱ度胎盘早剥比率约为13%,Ⅲ度胎盘早剥患者比率约为76%。此外,出现胎盘早剥并发产后出血患者比率约为35%,出现胎盘早剥并发子宫卒中患者比率约为35%,出现胎盘早剥患者中没有孕产妇死亡病例,胎儿死亡比率约为44%。其中,46例胎盘早剥患者的孕周小于32周,约占比率为52%,孕周在32周至37周范围内的胎盘早剥患者比率约为35%,孕周在37周以上的胎盘早剥患者比率约为13%。最后,在46例胎盘早剥缓和中,有妊娠高血压综合征的患者比率约为35%,创伤比率约为15%。结论:在孕产妇群体中,胎盘早剥的发生比率随着孕产妇孕周的增加呈现下降变化,其中人身高血压综合征以及创伤是导致胎盘早剥的主要原因,而胎盘早剥是胎儿死亡的主要原因。
Objective: To investigate the causes of placental abruption and its impact on maternal and infant. Methods: A total of 46 patients with placental abruption admitted from January 2008 to December 2012 in a maternal and child health care hospital were retrospectively analyzed to analyze the causes and effects of placental abruption. Results: Of the 46 cases of placental abruption, the percentage of first-degree placental abruption was about 11%, the second-degree placental abruption rate was about 13%, and the third-degree placental abruption rate was about 76% . In addition, the rate of placental abruption with postpartum hemorrhage is about 35%, the incidence of placental abruption complicated by uterine stroke is about 35%, there is no maternal death in placental abruption, and the rate of fetal death is about 44%. Among them, 46 cases of placental abruption patients gestational age less than 32 weeks, accounting for about 52% of gestational weeks in the range of 32 weeks to 37 weeks of placental abruption in patients with about 35% of gestational weeks in more than 37 weeks of placenta The rate of stripping patients is about 13%. Finally, among the 46 patients with placental abruption, the rate of patients with gestational hypertension is about 35% and the trauma rate is about 15%. Conclusion: In the maternal group, the incidence of placental abruption decreased with the increase of gestational weeks, of which Hypertension syndrome and trauma are the main causes of placental abruption, which is the result of fetal death The main reason.