摘要
目的探讨不同类型胎盘早剥对母儿结局的影响。方法回顾性分析我院分娩产妇中发生胎盘早剥的38例患者。结果胎盘早剥发生率0.43%,产前B超确诊率50.0%,其中重型早剥确诊率82.4%,轻型确诊率23.8%。围产儿死亡16例,病死率42.1%,无孕产妇死亡。产后出血11例,占29.0%;DIC2例,占5.26%;休克1例,占2.63%;子宫胎盘卒中17例,占44.74%;子宫次全切除2例,占5.26%。结论胎盘早剥程度与母儿结局有密切联系,尽早确诊、正确处理可以改善母儿结局。
Objective To investigate the outcomes of different types of premature separation （PPS）. Methods 38 cases of PPS were retrospectively analyzed in our hospital. Results The incidence of PPS by B ultrasound was 0.43%. The antepartum diagnostic rate was 50.0%, this rate in severe type was 82.4% and mild type was 23.8%. The mortality rate of perinatal newborn orrhage was 42.1% （16）. The incidence of postpartum hemorrhage , DIC, shock, uteroplacental apoplexy and partial hysterectomy on uterus was 29.0% （ 11 ）, 5.26% （2）, 2.63% （1）, 44.74% （17） and 5.26% （2） respectively. Conclusion There are close relationship between the degree of placental premature separation and the pregnant outcomes in women. Early diagnosis and treatment can improve the maternal and fetal outcomes.
出处
《咸宁学院学报（医学版）》
2005年第4期300-301,共2页
Journal of Xianning Univarsity(medical Sciences)
关键词
胎盘早剥
母儿结局
Placental premature separarion
Matemal and fetal outcomes
