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目的 探讨胎盘早期剥离的临床特点和处理。方法 对在也门拉哈杰省立医院 2 0 0 1年 10月至 2 0 0 4年 3月收治的 4 7例胎盘早剥患者的临床资料进行回顾性分析。结果 住院分娩产妇 4 30 4例 ,胎盘早剥 4 7例 ,发生率 1 0 9% ,经产妇占 95 74 % ,剖宫产率 5 5 32 % ,子宫胎盘卒中率 5 1 0 6 % ,围生儿死亡率6 5 96 % ,无产妇死亡。结论 除典型疼痛性阴道出血外 ,妊娠晚期不明原因贫血、脉快、厥冷伴胎心异常或消失、高张性子宫、B超显示胎盘后液性暗区均有助本病诊断。积极抗休克和果断的手术治疗可改善产妇预后
Objective To investigate the clinical features and treatment of early placental abruption. Methods A retrospective analysis was performed on the clinical data of 47 cases of placental abruption admitted from October 2001 to March 2004 at Rajasth Provincial Hospital in Yemen. Results 4,304 cases of hospitalized delivery, 47 cases of placental abruption, the incidence of 109%, 95 74% of women, cesarean section rate of 5 5 32%, uterine placental stroke rate of 5 1 0 6%, Wai The neonatal mortality rate was 65 596%, with no maternal death. Conclusion In addition to the typical painful vaginal bleeding, unexplained anemia in late pregnancy, pulse fast, jaundice with abnormal or disappeared fetal heart rate, hypertensive uterus, B ultrasound showed that the dark area after the placenta are helpful to the diagnosis of the disease. Active anti-shock and decisive surgical treatment can improve maternal prognosis