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目的探讨胎盘早剥的高危因素、早期诊断和积极治疗的重要性,总结临床经验以提高自身水平。方法回顾性分析26例胎盘早剥患者的临床诊治资料,从高危因素、诊断、治疗、母儿结局等方面进行探讨。结果妊娠期高血压疾病是胎盘早剥的主要高危因素,其次有胎膜早破和脐带因素等。本组患者Ⅰ度胎盘早剥16例,Ⅱ度胎盘早剥3例,Ⅲ度胎盘早剥7例;死胎9例;子宫胎盘卒中11例;凝血功能障碍2例;经积极治疗,无产后出血、孕产妇子宫切除及死亡病例发生。结论胎盘早剥对母儿生命威胁很大,临床上应针对其高危因素制定相应措施,全面加强产前检查,及时治疗原发疾病,预防胎盘早剥的发生,并尽可能早期诊断,积极采取相应处理措施,降低孕产妇、围生儿死亡率。
Objective To explore the risk factors of placental abruption, the importance of early diagnosis and active treatment, summarize clinical experience to improve their own level. Methods The clinical data of 26 patients with placental abruption were retrospectively analyzed, and the risk factors, diagnosis, treatment and maternal and infant outcomes were discussed. Results Hypertensive disorder in pregnancy was the main risk factor of placental abruption, followed by premature rupture of membranes and umbilical cord factors. This group of patients with grade Ⅰ placental abruption in 16 cases, Ⅱ degree placental abruption in 3 cases, Ⅲ degree placental abruption in 7 cases; stillbirth in 9 cases; uterine placental stroke in 11 cases; coagulation disorders in 2 cases; after active treatment, no bleeding after labor , Maternal hysterectomy and deaths occurred. Conclusion Placental abruption poses a great threat to the life of the mother and child. Therefore, we should make corresponding measures according to the risk factors in clinic. We should strengthen prenatal care, treat the primary disease in time, prevent the occurrence of placental abruption, and diagnose it as early as possible. Corresponding treatment measures to reduce maternal, perinatal mortality.