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目的:探讨胎盘早期剥离的临床特点,提出护理对策。方法:回顾性分析2008年1月~2010年1月我院产科住院的胎盘早剥10例患者的临床资料,观察临床特点,总结护理体会。结果:本组10例患者均行剖宫产术,发生子宫胎盘卒中2例,发生胎盘植入1例,发生产后出血4例,行子宫次全切除术1例,合并血小板减少症1例。结论:护理上须严密观察,早及发现胎盘早剥的征象,根据临床症状,结合B超检查确诊,及时终止妊娠,确保母儿安全。
Objective: To investigate the clinical characteristics of early placental abruption and propose nursing countermeasures. Methods: The clinical data of 10 cases of placental abruption hospitalized in our hospital from January 2008 to January 2010 were retrospectively analyzed. The clinical features and nursing experience were summarized. Results: All the 10 patients underwent cesarean section. There were 2 cases of uterine placental stroke, 1 case of placenta accreta, 4 cases of postpartum hemorrhage, 1 case of subtotal hysterectomy and 1 case of thrombocytopenia. Conclusion: Nursing should be closely observed early and found signs of placental abruption, based on clinical symptoms, combined with B-ultrasound diagnosis, timely termination of pregnancy, to ensure that the mother and child safety.