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目的探讨子痫前期合并胎盘早剥的诊断及临床治疗。方法回顾性分析商丘市妇幼保健院21例子痫前期合并胎盘早剥患者的临床资料。结果子痫前期合并胎盘早剥孕产妇产后出血5例(23.81%),子宫切除1例(4.76%),子宫卒中4例(19.05%),1例重度子痫前期胎盘早剥孕妇死亡,其发生率为4.76%。结论子痫前期合并胎盘早剥,对母婴的生命危害严重,医护人员应积极预防和治疗妊娠期高血压,减少胎盘早剥的发生,做到早发现、早诊断、早治疗,才能提高新生儿的存活率,减少对孕妇的危害。
Objective To investigate the diagnosis and clinical treatment of preeclampsia with placental abruption. Methods The clinical data of 21 patients with preeclampsia and placental abruption in Shangqiu MCH hospital were retrospectively analyzed. Results Postpartum hemorrhage in preeclampsia with placental abruption was found in 5 cases (23.81%), hysterectomy in 1 case (4.76%), uterine stroke in 4 cases (19.05%) and in one case of severe preeclampsia placental abruption The incidence was 4.76%. Conclusions Preeclampsia combined with placental abruption may have serious harm to the lives of mothers and infants. Health care workers should actively prevent and treat gestational hypertension and reduce the incidence of placental abruption. Early detection, early diagnosis and early treatment can improve the students’ Children’s survival rate, reduce the harm to pregnant women.