重度胎盘早剥对母婴结局的影响.pdfVIP

174 Medical Science Journal of Central South China,March2013,Vol.41,No.2 文章编号:2095-1116(2013)02-0174-03 ·临床医学· 重度胎盘早剥对母婴结局的影响 蒋丽江,黄春容,周摇 琼 (佛山市顺德区第一人民医院产科,广东佛山528300) 摘摇 要:摇 目的摇 探讨重度胎盘早剥对母婴结局的影响。摇 方法摇 将在本院进行治疗的胎盘早剥孕产妇50例 分为轻度组36例( 玉、域度胎盘早剥),重度组14例(芋度胎盘早剥)。 比较两组的母婴结局。 摇 结果摇 轻度组的 平均分娩孕周显著大于重度组(P0.01)。 重度组行剖宫产手术、子宫切除、合并有妊娠期高血压、子宫胎盘卒中、 产后出血、凝血功能异常、弥散性血管内凝血(DIC)、失血性贫血均高于轻度组(P 0.05)。 重度组早产、重度窒 息、死胎、围生儿死亡率和转入NICU率均显著高于轻度组(P0.01),新生儿出生体重低于轻度组(P 0.01)。摇 结论摇 重度胎盘早剥严重威胁着母婴的健康和生命,临床上应推广规律的产前检查,以及时发现问题,改善预后。 关键词:摇 孕产妇;摇 胎盘早剥;摇 母婴结局 中图分类号:R714郾56摇 摇 摇 文献标识码:A Effects of Severe Placental Abruption on Mother鄄infant Prognosis JIANG Lijiang,HUANG Chunrong,ZHOU Qiong (Departmennt of Obstetrics,the First Peoples Hospital of Shunde in Foshan City,謘 Foshan,Guangdong 528300,China) Abstract:摇 Objective摇 Todiscusseffectof severeplacentalabruptiononmother- infantprognosis.摇 Methods摇 50 caseswith premature separation of placentafromJan2010 toJun2012 were selected.36 cases were light placental abrup鄄 tion,and 14 cases were severe placental abruption.Mother - infant prognosis was analyzed. 摇 Results摇 The gestational time of light group was longer than severe group(P0郾01).Severe group have more caesarean and uterectomy with gesta鄄 tional hypertension,uteroplacental apoplexy,postpartum hemorrhage,coagulation disorders,DIC,hemorrhagic anemia than light group(P0郾05).Severegrouphadlighterrateofprematurebirth,severeasphyxia,stillbirth,perinatalmortality,trans鄄 ferring into NICU than light group(P0郾01).Birth weight of infants severe group was lower than light group(P0郾01). Conclusion摇 Severe placentalabruptionthreatenmat