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目的探讨胎盘早剥的病因及其与母婴预后的关系。方法回顾性分析本院 1993～2 0 0 0年 5 5例胎盘早剥的病因及母婴预后。结果胎盘早剥发生率 0 .4 3% ,发病原因以妊娠高血压综合征及外伤多见。新生儿窒息、低出生体重儿、围产儿死亡、剖宫产、产后出血和弥漫性血管内凝血 (DIC)分别占5 2 .7%、5 4 .5 %、4 0 .0 %、4 5 .5 %、2 3.6 %和16 .4 % ;无孕产妇死亡。重型胎盘早剥比轻型胎盘早剥对母婴影响更大 ,前者围产儿病死率、新生儿窒息及产后贫血发生率均明显高于后者 (P <0 .0 5～ 0 .0 1) ;胎盘早剥的孕龄越低 ,新生儿窒息率、围产儿病死率越高 (P<0 .0 1)。结论胎盘早剥对母婴预后影响极大 ,孕产妇剖宫产率高 ,贫血、产后出血、DIC发生率高 ;重型胎盘早剥新生儿窒息率、围产儿病死率、母体并发症明显高于轻型 ;随着孕周增加围产儿病死率、新生儿窒息发生率降低
Objective To investigate the etiology of placental abruption and its relationship with maternal and infant prognosis. Methods retrospective analysis of our hospital from 1993 to 2000 etiology and maternal and child prognosis of 55 cases of placental abruption. results placental abortion incidence of 0.4%, the incidence of pregnancy-induced hypertension and trauma more common. Neonatal asphyxia, low birth weight infants, perinatal death, cesarean section, postpartum hemorrhage and diffuse intravascular coagulation (DIC) accounted for 52.7%, 54.5%, 40.0%, 45% .5%, 23.6% and 16.4%; no maternal deaths. The rate of perinatal mortality, neonatal asphyxia and postpartum anemia were significantly higher in severe placental abruption than in mild placental abruption. The former was significantly higher than the latter (P <0.05-0.01). The lower gestational age of placental abruption, neonatal asphyxia and perinatal mortality (P <0.01). Conclusion Petriatal placental ablation has great impact on the prognosis of maternal and infant, cesarean section rate of pregnant women is high, anemia, postpartum hemorrhage, DIC high incidence; severe placental abruption neonatal asphyxia, perinatal mortality, maternal complications Higher than light; with gestational weeks increased perinatal mortality, neonatal asphyxia decreased incidence