79例胎盘早剥临床分析

目的：：探讨胎盘早剥的致病因素，提高早期确诊率，降低母婴并发症。方法：收集某院住院收治的79例胎盘早剥患者资料，比较Ⅰ度、Ⅱ度、Ⅲ度胎盘剥离患者的临床资料。结果：Ⅱ度、Ⅲ度胎盘早剥临床表现较为典型，产前诊断率分别为93.3%及100%，Ⅰ度胎盘早剥的产前诊断率76.4%，Ⅰ度与Ⅱ度、Ⅲ度两组相比有统计学差异（P<0.05）。在三组胎盘早剥的危险因素中，妊娠期高血压疾病占第1位。三组患者的新生儿窒息、围产儿死亡、子宫卒中、产后出血的发生率均有统计学差异（P<0.05），Ⅱ度及Ⅲ度胎盘早剥的剖宫产率明显高于Ⅰ度（P<0.05）。结论：早期诊断胎盘早剥，对争取抢救时机、及时终止妊娠、减少母婴并发症有重要的临床意义。

Clinical analysis of 79 case of placental abruption

To investigate the risk factors of placental abruption, enhance the accuracy of early diagnosis,and decrease the complication of mother and fetus. Methods:The clinical data of 79 cases with placental abruption were retrospectively reviewed in hospital. According to placental separation area are divided into three groups.Ⅰ° placental abruption 34 cases, Ⅱ° placental abruption 30 cases, Ⅲ° placental abruption 15 cases. Results:Ⅱ° andⅢ° placenta l abruption have more typical clinical symptom. The prenatal diagnosis rate of three groups were 93.3% , 100%and 76.4%, Ⅰ° placental abruption had significant difference compared with the other two groups. At the risk factors of three groups,Hypertensive disorders complicating pregnancy for the first. Three groups of asphyxia neonatorum, perinatal death, uterine apoplexy, the incidence of postpartum hemorrhage rate difference has statistics (P<0.05).The rate of cesarean section in Ⅱ° and Ⅲ° placental abruption was higher than that in Ⅰ° placental abruption (P<0.05).Conclusion:Early diagnosis of placental abruption has important clinical significance to strive for the time for rescue, timely terminate pregnancy and reduce maternal and neonatal complications.