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目的:强调胎盘早期剥离的临床特征与危险性和探讨其临床处理。方法:对近2 a中共37例胎盘早剥作回顾性分析。结果:围产儿死亡率为21.62%,孕产妇死亡率为0。子宫卒中13.51%,D IC 8.11%。阴道流血,血性羊水,下腹疼痛,胎心异常或消失,子宫张力增高伴压痛为主要临床表现。结论:胎盘早剥危及母婴生命,其预后与处理的及时性密切相关,根据患者病情轻重、出血量、胎儿情况、孕龄、并发症、产程进展而采用不同的处理方式。
Objective: To emphasize the clinical features and risks of placental exfoliation and to explore its clinical treatment. Methods: Retrospective analysis of 37 cases of placental abruption in recent 2 years. Results: The perinatal mortality rate was 21.62% and the maternal mortality rate was 0. 13.51% of uterine stroke, D IC 8.11%. Vaginal bleeding, bloody amniotic fluid, abdominal pain, abnormal or disappeared fetal heart rate, uterine tension with tenderness as the main clinical manifestations. Conclusion: The risk of placental abortion is very low and the prognosis of the patients is closely related to the timeliness of the treatment. Different treatment methods are adopted according to the severity of the illness, the amount of bleeding, the fetus, gestational age, complications and labor progress.