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复发性胎盘早剥的临床分析

孟然 戚红

生殖医学杂志2011,Vol.20Issue(1):14-17,4.
生殖医学杂志2011,Vol.20Issue(1):14-17,4.DOI:10.3969/j.issn.1004-3845.2011.01.004

复发性胎盘早剥的临床分析

Clinical analysis of recurrent placental abruption

孟然 1戚红1

作者信息

  • 1. 北京市海淀区妇幼保健院产前筛查中心,北京,100080
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摘要

Abstract

Objective: To analyze the pathogenic factors, clinical characteristics and pregnancy outcomes of recurrent placental abruption.Methods: A retrospective study of 6 cases of recurrent placental abruption who had delivered in our hospital from Jan.2003 to Aug.2009 was conducted to investigate the possible risk factors, clinical characteristics and pregnancy outcomes.The difference in clinical characteristics between recurrent cases and their initial cases was examined.Results: The incidence of recurrent placental abruption was 0.01 % (6/59,214).Compared with the initial cases, the recurrent cases had an earlier onset and lasted longer, with natural delivery in most cases.Three recurrent cases were related to pre-eclampsia, same as the previous ones and 1 case related to uterine malformation.In recurrent cases, the grade of placental abruption got severe and the incidence of disseminated intravascular coagulation (DIC) increased, but the incidences of postpartum hemorrhage, uteroplacental apoplexy, acute renal failure or acute respiratory distress syndrome (ARDS) did not increase.Conclusions: Among the risk factors of recurrent placental abruption were pre-eclampsia and uterine malformation.Earlier onset and extended abruption were observed in recurrent placental abruption, with adverse maternal-fetal outcomes.

关键词

复发性胎盘早剥/子痫前期/子宫畸形/死胎/危险因素

引用本文复制引用

孟然,戚红..复发性胎盘早剥的临床分析[J].生殖医学杂志,2011,20(1):14-17,4.

生殖医学杂志

OACSTPCD

1004-3845

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