摘要
目的主要就是分析并且探讨针对胎盘早剥的早期诊断以及处理的方法。方法通过回顾性分析，选取2009年初～2012年末期间所收治的100例胎盘早剥患者的病例资料，对该疾病的发病病因、临床表现以及分娩分析进行简要的统计分析。结果这100例中有30例是因为孕妇血管疾病而导致的胎盘早剥，占据了30％的比例。有30例是因为宫腔内压力突然降低从而导致胎盘早剥。同样也是占据30％的比例，还有的就是20例是因为外伤所造成的，占据的比例是20％，剩下的20例，是由于其他的原因所造成的胎盘早剥。在胎盘早剥的早期症状中，主要就是有着阴道出血、腰腹痛、胎音消失等等，在这些症状中，因为阴道出血而导致的比例就有着60％，因为腰腹痛而导致的比例就有15％，因为胎音消失而导致的比例就有着25％。这100例的患者中，在分娩的方式上，63例的患者选择剖宫产，所占的比例是63％，选择采用阴道分娩方式的患者有37例，所占的比例是37％，P〈0．05，差异具有统计学意义。结论对胎盘早剥的致病因素以及患者在临床的表现进行了主要的分析以及研究，如果能够近早采取确诊以及分娩的方式上采取合适自己的方法，是能够将围产儿的死亡率降低到一定程度的。
Objective The main is to analyze and discuss for the early diagnosis and treatment of placental abruption. Methods By retrospective analysis, selection of treated by early 2009 - during the late 2012, 100 cases of patients with placental abruption data for the onset of the disease etiology, clinical manifestation and statistical analysis of childbirth analysis briefly. Results 100 cases with 30 cases because vascular diseases and cause of placental abruption, pregnant women account for 30% of the proportion. In 30 cases because intrauterine pressure suddenly drops resulting in placental abruption. Also accounted for the proportion of 30%, and is 20 cases was caused by trauma, occupies the proportion is 20%, the rest of the 20 cases, is due to other reasons caused by placental abruption. In the early symptoms of placental abruption, is mainly with vaginal bleeding, lumbar pain, tire sound disappear and so on, in these symptoms, because vaginal bleeding caused by the proportion is 60%, because waist abdominal pain caused by the proportion is 15%, because the child disappeared in the proportion is 25%. Of the 100 cases of patients, on the delivery way, 63 cases of the patients choose cesarean section, the proportion is 63%, there are 37 patients with vaginal delivery modes selection, the proportion is 37%, P〈0.05, the difference is statistically significant. Conclusion In patients with risk factors for placental abruption and clinical performance of the main analysis and research, if you are able to identify early to take and the method of delivery on the way to take appropriate oneself, is able to reduce perinatal mortality rate to a certain degree.
出处
《中国医药指南》
2013年第28期21-22,共2页
Guide of China Medicine
关键词
胎盘早剥
早期诊断
处理探讨
Placental abruption
Early diagnosis
Processing to investigate
