【摘要】 目的 :探讨胎盘早剥与子宫卒中的相关因素及提出预防建议。方法 :对我院近 7年来收治 6 6例胎盘早剥进行回顾性分析。结果 :胎盘早剥 6 6例中并发子宫卒中 2 5例占 37.87% (2 5 / 6 6 ) ;合并DIC8例 (8/ 11) ;急性肾衰 4例 (4/ 5 ) ;出血性休克例 (8/ 10 ) ;新生儿窒息 14例 (14 / 2 6 ) ,重度窒息 10例 (10 / 11) ,新生儿死亡 2例 (2 / 5 ) ,死胎 4例 (4/ 7)。子宫切除 5例。结论 :子宫卒中对母婴威胁极大 ;腹痛致分娩时间与子宫卒中的发生密切相关 ;早剥面积越大 ,子宫卒中程度越严重 ;及时结束分娩对防止重型胎盘早剥及子宫卒中极为重要 ;子宫卒中不是子宫切除的手术指征。更多还原

【Abstract】 Objective: To explore the relative factors about placental abruption and uterplacental apoplexy and give some prevented opinions.Method: The retrospective analysis were done on 66 cases with placental abruption in our hospitalfrom Jan. 1992 to Jan. 2003.Result: Twenty-five patients result in uterplacental apoplexy .The incidence of it was 37.87%;8 cases complicated with DIC(8/11);4 cases with acute kidney decay(4/5);14 cases with freshmen asphyxiated (14/26),the severe degree patients were 10 cases(10/11),2 cases with freshmen dead (2/5) ;4 cases with dead fetuses(4/7).5 cases with hysterectomy .Conclusion: Uterplacental apoplexy make greatly risk to mothers and childbirth.There existing closed relationship for the time from stomache to childbirth and the severe degree of placental abruption to uterplacental apoplexy.It is very important to prevent severe degree placental abruption and uterplacental apoplexy through conclude childbirth in time.uterplacental apoplexy is not the only operation sign.更多还原