78例胎盘早剥临床分析

目的：探讨胎盘早剥的诱发因素、手术方式和临床处理方法。方法：采用回顾性病例分析的方法，对2010年6月至2012年1月在我院妇产科接受治疗的78例胎盘早剥患者的临床资料进行统计，分析胎盘早剥的诱因、临床分度及处置原则。结果：诱发因素：妊娠期高血压病占第1位，胎膜早破为第2位，妊娠期合并糖尿病为第3位。此外，羊水过多、妊娠合并子宫肌瘤、外伤等也是引起胎盘早剥的因素。在78例胎盘早剥患者中，重度的有18例，中度的有32例，这50例患者全用采取剖宫产进行处置。另有28例为轻度胎盘早剥，其中6例采用阴道分娩。结论：胎盘早剥以妊娠期高血压、胎膜早破、妊娠期糖尿病为主要发病诱因，中重度胎盘早剥一般用剖宫产终止妊娠，轻度胎盘早剥可部分用阴道分娩。

Clinical Analysis of 78 Cases with Placental Abruption

Objective： To investigate the inducing factors, selection of surgical methods and clinical treatment of placental abruption. Methods： A retrospective analysis was carried on about seventy-eight patients who were treated on the department of obstetrics and gynecology in our hospital from June 2010 to January 2012. We collected. The clinical data to analyze the inducing factors, clinical grading and treatment for placental abruption. Results： Inducing factors： Gestational hypertension was the first, premature rupture of membranes was the second, gestational diabetes as the third. In addition, there were some other factors that induced the placental abruption which included more amniotic fluid, pregnancy with uterine fibroids, trauma, etc. All of the seventy-eight cases with placental abruption, eighteen were severe and thirty-two were moderate that were treated by full production with cesarean delivery. Another twenty-eight cases were mild, andsix of them were treated with vaginal delivery. Conclusions： The main pathogenesis inducement are the gestational hypertension of placental abruption, premature rupture of membranes and gestational diabetes. It is better to treat by cesarean delivery for the patients with moderate or severe placental abruption, while, the vaginal delivery for those with mild placental abruption.