实用妇产科杂志2011，Vol.27Issue(12)：945-948,4.
胎盘早剥合并胎死宫内分娩方式的探讨
Delivery Mode of Placental Abruption Complicated with Fetal Death
宋晓晨 1魏瑗 1赵扬玉 1张龑 1王永清 1王妍 1江元慧 1王伽略 1刘春雨1
作者信息
摘要
Abstract
Objective:To explore the management and delivery mode of placental abruption complicated with fetal death. Methods;23 cases of placental abruption complicated with fetal death, occurring in Department of Obstetrics of Peking University Third Hospital from January 1994 to July 2011, were retrospectively reviewed and analyzed. During them, vaginal delivery was 11 cases (vaginal delivery group) and cesarean section was 12 cases (cesarean section group). The parameters, including age,delivery mode, complications in delivery or postpartum, and blood loss, were analyzed in order to estimate the safety of vaginal delivery. Results:Among 23 cases, 11 cases was vaginal delivery (47. 8%) and 12 cases underwent cesarean section because of failed trial of vaginal labor or other causes. 2 cases underwent subtotal hysterectomy due to massive hemorrhage. No maternal deaths occurred in both groups. There was no significant difference between two groups in age, gestational week, gravidity, amount of antepartum hemorrhage and antepartum complication (P >0. 05). The postpartum hemorrhage rate in cesarean section group was 91. 7%, in vaginal delivery group was 54.5%,there was no statistical significant difference( P=0.069). The amount of hemorrhage in cesarean group was 1986. 4 ± 1653. 3 ml, in vaginal delivery group was 928. 0 ±737. 8 ml ( P = 0.076). Conclusions;Vaginal delivery is feasible and preferable for placental abruption complicated with fetal death and stands trial with close supervision and aggressive correction of coagulopathy. Vaginal deliveries can reduce trauma in patients, and the clinical value should be confirmed by more research.关键词
胎盘早剥/胎死宫内/阴道分娩/剖宫产Key words
Placental abruption/ Fetal death/ Vaginal delivery/ Cesarean section分类
医药卫生引用本文复制引用
宋晓晨,魏瑗,赵扬玉,张龑,王永清,王妍,江元慧,王伽略,刘春雨..胎盘早剥合并胎死宫内分娩方式的探讨[J].实用妇产科杂志,2011,27(12):945-948,4.
