不同类型胎盘早剥母儿结局
胎盘早剥,,胎盘早剥；母儿结局,1资料及方法,2结果,3讨论,参考文献：
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%;DIC 2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。关键词：胎盘早剥；母儿结局
Maternal and Fetal Outcomes of Different Types of Placental Premature Separation
FU Jun, XU Hongbin,HU Zhiyang
(Department of Obstetrics and Gynecology,the Second Affiliated Hospital of Ji'nan University,Shenzhen Guangdong 518020,China)
ABSTRACT: 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 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. ......
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