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目的 探讨和强调不同程度胎盘早剥产妇所生新生儿的临床特征和危险性。 方法 回顾对照分析 1994年 7月～ 1998年 6月本科收治的 141例不同程度胎盘早剥产妇所生新生儿的临床资料。 结果 胎盘早剥产妇所生新生儿中早产儿为 94.3% ,低出生体重儿为 80 .9% ,窒息儿为79.4% ;入院时缺氧缺血性脑病 (HIE)为 6 3.1% ,心肌损害为 5 6 .0 % ,休克为 5 6 .7% ,贫血为 6 1.7% ,弥漫性血管内凝血 (DIC)为 83.0 % ,酸中毒为 6 6 .0 % ,呼吸窘迫综合征 (RDS)为 5 0 .4% ,呼吸暂停为5 1.1% ,均在 5 0 %以上。母胎盘早剥轻型组与重型组之间 ,入院日龄、性别、产式、胎龄、出生体重例数分布差异无显著意义 ,但各病症检出率均以重型组为高。其中窒息儿主要是重度窒息 ,检出率以重型组为高 ;DIC中 ,高凝期检出率以轻型组为高 ,低凝期检出率以重型组为高 ;轻型组新生儿中各相关危重症检出率虽然较重型组显著为低 ,但也分别达 43.4%～ 77.4%。 结论 印证了上述病症是胎盘早剥产妇所生新生儿的临床特征 ;表明了重型胎盘早剥产妇所生新生儿病情更复杂、更严重 ,但轻型产妇所生新生儿也具一定危险性 ,均应引起高度重视。
Objective To investigate and emphasize the clinical features and risks of neonates born to mothers with different degrees of placental abruption. Methods The clinical data of 141 newborns born in different stages of placental abruption from July 1994 to June 1998 were retrospectively analyzed. Results In preterm infants with placental abruption, 94.3% of newborns, 80.9% of infants with low birth weight and 79.4% of those with asphyxia were admitted to hospital. The incidence of hypoxic-ischemic encephalopathy (HIE) was 6 3.1% and myocardial damage Was 5.6%, shock was 56.7%, anemia was 6 1.7%, diffuse intravascular coagulation (DIC) was 83.0%, acidosis was 6.6%, respiratory distress syndrome (RDS) was 50.4% and apnea 5 1.1%, all above 50%. There was no significant difference in the distribution of age, sex, production type, gestational age, and birth weight between the mild and severe groups in maternal placental abruption, but the detection rate of each disorder was higher in the severe group. Among them, asphyxia was mainly severe asphyxia, and the detection rate was high in severe group. In DIC, the detection rate of hypercoagulable period was high in light group and high in low-coagulation group. Although the detection rate of critical illness was significantly lower in the heavier group, it was also 43.4% ~ 77.4% respectively. Conclusion The above symptoms are confirmed by the clinical characteristics of neonates born by placental abortion. It shows that the newborn infants born by severe placental abruption are more complicated and serious, but the neonates born by light maternal are also at risk. Should attract great attention.