【摘要】 目的:探讨子宫后壁胎盘早剥的早期识别、并发症及围产儿死亡率与病情的关系。方法:用回顾性分析方法对5年间子宫后壁胎盘早剥63例(观察组)进行分析,并与同期子宫前壁胎盘早剥的59例(对照组)比较。结果:观察组多无典型的症状,有些表现为腰痛和阴道出血,产前B超发现阳性率为51.22%,剖宫产40例,阴道产23例,新生儿窒息12例(19.05%),死胎1例(1.59%),死产0例;围产儿死亡率为1.59%。对照组主要表现为腹痛和阴道出血;产前B超发现阳性率为78.26%,剖宫产29例,阴道产30例,新生儿窒息7例(11.86%),死胎0例,死产0例,围产儿死亡率为0%。均无子宫卒中及子宫次全切除出现,无孕产妇死亡。结论:重视胎盘早剥诱因及临床表现,结合B超和实验室等辅助检查,早期识别,及时有效的临床处理可降低孕产妇和围产儿死亡率。更多还原

【Abstract】 Objective:To detect the relationship of early recognized placental abruption in uterus posterior wall,its complication and perinatal mortality rate with the pathogenetic condition.Methods:63 cases of placental abruption in posterior uterine wall(the observation group)in 5 years were analyzed using retrospective method to compare to 59 cases of placental abruption in anterior uterine wall(the control group) at the same time.Results:The observation group had no typical symptom,some had low back pain and colporrhagia,ultrasound antepartum detected the masculine rate was 51.22%,40 cases of uterine-incision delivery,23 cases of normal labor,12 cases of newborn asphyxy(19.05%),1 case of fetal death(1.59%),no case of dead birth,perinatal mortality rate 1.59%.The control group showed mainly the abdominal pain and colporrhagia,ultrasound antepartum detected the masculine rate was 78.62%,29 cases of uterine-incision delivery,30 cases of normal labor,7 cases of newborn asphyxy(11.86%),no case of fetal death,no case of dead birth,perinatal mortality rate 0%.Both had no apoplexia uteri case,no subtotal ectomy,no maternal death.Conclusion:Attention should be paid to the motivation and the clinical manifestation of placental abruption,binding ultrasound and laboratory auxiliary examination,discrimination early,prompt and effective clinical procedures to depress the pregnant-parturient and perinatal mortality rate.更多还原