| 蒋丽江，黄春容，周琼.重度胎盘早剥对母婴结局的影响.[J].中南医学科学杂志.,2013,41(2):174-176. |
| 重度胎盘早剥对母婴结局的影响 |
| Effects of Severe Placental Abruption on Mother-infant Prognosis |
| 投稿时间：2013-02-25 |
| DOI： |
| 中文关键词: 孕产妇 胎盘早剥 母婴结局 |
| 英文关键词:mother-infant prognosis premature separation of placenta mother-infant prognosis |
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| 中文摘要: |
| 目的探讨重度胎盘早剥对母婴结局的影响。 方法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(Ⅰ、Ⅱ度胎盘早剥)，重度组14例（Ⅲ度胎盘早剥）。比较两组的母婴结局。结果轻度组的平均分娩孕周显著大于重度组（P＜0.01）。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（P＜0.01），新生儿出生体重低于轻度组（P＜0.01）。 结论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。 |
| 英文摘要: |
| ObjectiveTo discuss effect of severe placental abruption on mother- infant prognosis.Methods50 cases with premature separation of placenta from Jan 2010 to Jun 2012 were selected.36 cases were light placental abruption,and 14 cases were severe placental abruption.Mother- infant prognosis was analyzed. ResultsThe gestational time of light group was longer than severe group(P＜0.01).Severe group have more caesarean and uterectomy with gestational hypertension,uteroplacental apoplexy,postpartum hemorrhage,coagulation disorders,DIC,hemorrhagic anemia than light group（P＜0.05）.Severe group had lighter rate of premature birth,severe asphyxia,stillbirth,perinatal mortality,transferring into NICU than light group（P＜0.01）.Birth weight of infants severe group was lower than light group（P＜0.01）.ConclusionSevere placental abruption threaten maternal and child health and life.Regular prenatal care should be spread to find problem in time and improve prognosis. |
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