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目的探讨对胎盘早剥诊治的早晚与妊娠结局的关系。方法将87例胎盘早剥分为轻度(42例)、重度(45例),对其临床表现及妊娠结局做回顾性分析。结果重度胎盘早剥产后子宫大出血及凝血功能障碍的发生率,围生儿窒息率明显高于轻度胎盘早剥组(P<0.05)。结论能否早期诊治胎盘早剥对孕产妇及围生儿的预后有很大差别,诊治越早,孕产妇及围生儿的危险越小,诊治越晚相对危险性越大。
Objective To investigate the relationship between early diagnosis of placental abruption and pregnancy outcome. Methods Eighty-seven cases of placental abruption were divided into mild (42 cases) and severe (45 cases). The clinical manifestations and pregnancy outcome were retrospectively analyzed. Results The incidence of uterine bleeding and coagulation dysfunction after severe placental abruption was significantly higher than that of mild placental abruption (P <0.05). Conclusion Early diagnosis and treatment of placental abruption on the prognosis of pregnant women and perinatal children are very different, the earlier the diagnosis and treatment, the less risk of pregnant women and perinatal children, the diagnosis of the more the relative risk of the greater.