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胎盘早剥是妊娠中晚期的一种严重并发症起病急,进展快,诊治不及时可危及母儿生命现将近数十年来对其病因学及诊治的大量实验研究体会如下。1 主要病因如下1.1 妊娠高血压综合征或母体血管病变 妊娠高血压综合征(以下简称妊高征)、原发性高血压、慢性高血压有全身血管性病变者,如慢性肾炎合并高血压等为胎盘早剥的首要病因。10年来回顾分析,该因素占第一位(82.5%),其发病机理是胎盘床部位的底蜕膜螺旋小动脉发生痉挛、急性动脉粥样硬化,引起远端毛细血管缺血、坏死、破裂而出血,形成血肿,逐步扩大,使胎盘
Early pregnancy placental abruption is a serious complication of acute onset, rapid progress, diagnosis and treatment may not be able to endanger the mother’s life now decades of etiology and diagnosis and treatment of a large number of experimental studies are as follows. 1 The main causes are as follows 1.1 pregnancy-induced hypertension syndrome or maternal vascular disease pregnancy-induced hypertension (hereinafter referred to as PIH), essential hypertension, chronic hypertension with systemic vascular disease such as chronic nephritis with hypertension The primary cause of placental abruption. Retrospective analysis over the past 10 years, the factor accounted for the first (82.5%), the pathogenesis of placental bed at the bottom of the decidual spiral arteries spasm, acute atherosclerosis, causing distal capillary ischemia, necrosis, rupture The bleeding, the formation of hematoma, and gradually expanded so that the placenta