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目的:探讨胎盘早剥原因及其对母儿结局影响。方法:回顾性分析平顶山市妇幼保健院2006年1月～2010年12月收治的46例胎盘早剥患者临床资料。结果:46例孕产妇胎盘Ⅰ度早剥占10.87%、Ⅱ度早剥占13.04%、Ⅲ度早剥占76.09%;胎盘早剥并发产后出血为34.78%、并发子宫卒中亦为34.78%,无孕产妇死亡;死胎率为42.55%;46例胎盘早剥患者孕周小于34周者占52.17%,孕34～37周者占34.78%,孕周大于37周者占13.05%;46例患者中妊娠期高血压疾病占41.30%、创伤占15.22%。结论:妊娠期高血压疾病和创伤是胎盘早剥的主要诱因;胎盘早剥是死胎的主要原因。
Objective: To investigate the causes of placental abruption and its effect on the outcome of maternal and child. Methods: The clinical data of 46 patients with placental abruption admitted from January 2006 to December 2010 in Pingdingshan MCH were retrospectively analyzed. Results: 46 cases of pregnant women placenta previa accounted for 10.87%, 13.04% of the second degree of abscess, Ⅲ degree of early abortion accounted for 76.09%; placental abortion concurrent postpartum hemorrhage was 34.78%, concurrent uterine stroke was 34.78%, no Maternal death; stillbirth rate was 42.55%; 46 cases of placental abruption less than 34 weeks of gestational age accounted for 52.17%, 34 to 37 weeks pregnant 34.78%, gestational age greater than 37 weeks accounted for 13.05%; 46 patients Hypertensive disorders in pregnancy accounted for 41.30%, trauma accounted for 15.22%. Conclusion: Hypertensive disorder and trauma in pregnancy are the main causes of placental abruption. Placental abruption is the leading cause of stillbirth.