标题：胎盘早剥45例临床分析

      作者：刘 丽，毛圆圆*，黎渊明
    （昆山第一人民医院妇产科，江苏 昆山 215006）

      卷次： 2012年23卷7期

      【摘要】 目的 比较两种胎盘早剥（轻型和重型）的母儿结局。方法 回顾性分析2009年1月至2010年12
月期间胎盘早剥患者的孕期、产时、产后的临床资料。结果 同期分娩总数为9 397例次，期间胎盘早剥45例，其
发生率为 0.48%，轻型胎盘早剥为 53.33%（24例），部分性胎盘早剥为 46.67%（21例）。两种胎盘早剥患者的年
龄、孕次和产次、发病诱因、产妇并发症发病率、早产儿发生率、围产儿死亡率之间差异无统计学意义（P>0.05）。
其临床表现、正常新生儿出生率之间差异有统计学意义（P＜0.05）。结论 及早发现对轻型和重型胎盘早剥，重
视两者尤其是后者的处理，可望改善母儿结局。

      【关键词】 胎盘早剥；妊娠结局

      【中图分类号】 R714.46 【文献标识码】 A 【文章编号】 1003—6350（2012）07—052—03<

br>Clinical analysis on 45 cases of placental abruption.
LIU Li, MAO Yuan-yuan, LI Yuan-ming. Department of
Obstetrics & Gynaecology, the First People’s Hospital of Kunshan City, Kunshan 215006, Jiangsu, CHINA

【Abstract】 Objective To compare the outcome of women and fetus with placental abruption between the
mild type and the gravis type. Methods The clinical data of women with placental abruption in the past two year
were analyzed retrospectively. Results The incidence of placental abruption was 0.48%. The percentages of the mild
type and the gravis type placental abruption were 53.33% and 46.67%, respectively. There was no statistically signifi-
cant difference between the two groups in ages, gravidities, parities, inducement, incidence of complications of the pu-
erperal, premature, and mortality of the fetus (P>0.05). But statistically significant difference was found in clinical
manifestation and natality of normal newborn (P<0.05). Conclusion Recognizing the disease as soon as possible and
managing rapidly, especially for the gravis type, the prognosis of the mother and fetus can be improved.

      【Key words】 Placental abruption; Pregnancy outcome