胎盘早剥45例临床分析

摘要

Objective To Analyze the clinical manifestations and the processing of the cases with placental abruption and provide the basis to improve the quality of obstetric work. Methods 45 cases with placental abruption were analyzed retrospectively from January of 2008 to December of 2012 in our hospital. Results The incidence rate of placental abruption was 0.31%in the past 4 years. The risk factors of placental abruption were mainly gestational hypertension syndrome, premature rupture of membranes and umbilical cord factors, and accounted for 42%, 17.8%and 15.6%respectively. The clinical manifestations of placental abruption were mainly abdominal pain, vaginal bleeding and abnormalities of fetal heart tones. Among the cases, 3 of their fetus were dead and the mortality rate was 6.5%. Conclusion More attention should be paied to the incentive of placental abruption and signs and symptoms of cases with placental abruption, combined with auxiliary examination, to improve the early diagnosis and early treatment of cases with placental abruption.%　　目的分析胎盘早剥的临床表现及处理过程，为提高产科工作质量提供依据。方法回顾性分析2008年1月-2012年12月清远市妇保健院收治的胎盘早剥患者45例的临床资料。结果4年中胎盘早剥发生率为0.31%，发病因素以妊娠期高血压综合征、胎膜早破及脐带因素为多见，分别占胎盘早剥病例的42%、17.8%和15.6%；临床表现以腹痛、阴道流血及胎心音异常改变多见；胎儿死亡3例，病死率为6.5%。结论应重视胎盘早剥的诱因及症状体征，结合辅助检查，做好胎盘早剥的早诊断及早治疗。