摘要
目的探讨妊娠晚期胎膜早破并发胎盘早剥的发生率及早期诊治要点。方法回顾分析2002年1月～2005年12月该院产科分娩的胎膜早破病例,其中并发胎盘早剥者9例,与非胎膜早破发生胎盘早剥者进行比较,分析早期诊治与母婴结局的关系。结果4年内分娩总数3998例,胎膜早破并发胎盘早剥者占全部胎盘早剥的45%,胎膜早破为胎盘早剥的第1位诱因。胎膜早破并发胎盘早剥的发生率为2.97%,而非胎膜早破组为0.30%,两组比较,差异有非常显著性(P<0.001),胎心异常,少量血性羊水为常见临床表现。结论胎膜早破是胎盘早剥的重要诱因,重视胎膜早破后每1个异常临床表现,有助于早期诊治,以降低母婴并发症发生。
[Objective] Discuss the incidence and early treatment of the trimester placental abruption with premature rupture of membranes. [Methods] Retrospective analysis retrace from January 2002 to December 2005 the maternity hospital obstetric cases PROM. There were nine cases in which persons with placental abruption, abruption placentae were BY compared with the non-occurrence of premature rupture of membranes, we made an analysis about the relationship and neonatal outcomes in the analysis of early diagnosis and treatment. [Results] Four years, among the total number of 3998 eases of birth, the fact that premature rupture of membranes with placental abruption who accounted for 45% of all placental abruption made premature rupture the most essential trigger of the and placental abruption PROM for the first incentive. The incidence rate of placental abruption PROM is 2.97%, while 0.30% with premature rupture of membranes group rather than 0.30%. The marked differences between two groops are： was significance （P 〈0.001）, high rate of abnormal fetal heart rate and a small amount of amniotie fluid for congestive, which are the usual clinical manifestations. [Conclusion] PROM is an important incentive for placental abruption. Paying attention to every unusual clinical manifestations after PROM will be helpful to early diagnosis and treatment, which would reduce infant and maternal complications.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2007年第6期758-760,共3页
China Journal of Modern Medicine
关键词
胎膜早破
胎盘早剥
早期诊治
PROM
placental abruption
early diagnosis and treatment
