Diagnosis and treatment of 62 cases of placental abruption

VernacularTitle:胎盘早剥62例诊治分析
Author: Shuai WANG
Publication Type:Journal Article
Keywords: Abruptio placenta; Pregnancy Complications
From: Chinese Journal of Primary Medicine and Pharmacy 2012;19(2):189-190
CountryChina
Language:Chinese
Abstract: Objective To explore the early diagnosis of placental abruption and the control measures.Methods Retrospective analysis of our hospital from January 2001 to January 2011 during the 62 patients admitted to the placental abruption.Results Gestational hypertension,trauma and sexual intercourse,premature rupture of membranes for the three main causes; clinical manifestations of lumbar pain,vaginal bleeding,abnormal fetal heart rate and fetal movement,Palace board hard and tenderness,bloody amniotic fluid,etc.;take natural childbirth 9 cases,seven cases of vaginal delivery,cesarean section 42 cases,hip midwifery 4;43 cases of postpartum hemorrhage,26 cases of uteroplacental apoplexy,4 routine hysterectomy; normal newborn delivery,31 cases of neonatal asphyxia,22 cases of fetal death in 3 cases,perinatal child death in 6 cases,perinatal child mortality 9.7％.Conclusion Emphasis on pathogenesis and clinical manifestations,combined with auxiliary B ultrasonic examination to help the early diagnosis of placental abruption.Aggressive treatment of hypertensive disorders in pregnancy,to avoid injury prevention and treatment of placental abruption and premature rupture of membranes is an effective measure.