Clinical analysis of 32 cases of placental abruption _1283

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Clinical analysis of 32 cases of placental abruption
 
 
1 away from the cause of the pathogenesis of placental abruption is not fully understood, its incidence may be related to the following factors. ① pregnancy-induced hypertension is closely related with the occurrence of early stripping. This article in 32 cases, 11 cases with moderate or severe pregnancy-induced hypertension,You are not allowed to view links. Register or Login, accounting for 34.37%, 6 cases of all placental detachment, high in fetal death, 5 cases of uterine pregnancy complicated by gestational hypertension, stroke, and the levy when the comprehensive,You are not allowed to view links. Register or Login, systemic small artery spasm, severe end of the uterine decidual spiral arteries spasm or hardening, which can cause necrosis of the distal capillary bleeding, blood flow to the bottom end of the film shed formed by the accumulation of hematoma, leading to separation of the placenta and the uterine wall of PIH were not produced clinical vaginal bleeding or abdominal pain must be alert to the possibility of placental abruption, the line B-Check timely diagnosis and timely termination of pregnancy on mother and child so as not to cause more damage. ② predisposing factors for trauma: post-traumatic in this article, 2 cases occurred in sex as early as after 2 cases were severe stripped fetal death, 2 patients after the rough ride motorcycles, accounting for 18.75%. ③ sharp decline in uterine pressure: natural or artificial rupture of membranes excessive outflow of amniotic fluid pressure to the uterine cavity together then reduced, a sudden contraction of the uterus can cause uterine wall attachment of the placenta occurs with dislocation and detachment. There were 4 cases in this article occurred in the early rupture of membranes after stripping, 3 patients transferred to other hospital due to breech presentation in 1 case 1 case of transverse, are fetal death, hospital surgery occurred in 1 case the mother and child are a good time. ④ umbilical cord is too short: neonatal cord around the neck is also a factor in occurrence of placental abruption, and described in line 1 was breech fetal position knee-chest position to correct earlier when stripping found in umbilical cord around neck surgery in 2 cases,You are not allowed to view links. Register or Login, 1 case intravenous infusion of oxytocin in umbilical cord around neck needle placental abruption occurs when induction of labor. 3.2 abruption more than a typical clinical manifestations of an abdominal pain and vaginal bleeding, but some patients show no more, only 5 showed reduced fetal movement or fetal death, but the discovery has been developed to severe early stripping. Vaginal bleeding does not reflect the extent of dissection, the true blood loss and coagulation barrier. B-diagnosis of placental abruption is an important auxiliary examination method, the patient should be promptly suspected placental abruption line B-Check to determine whether placental abruption and understanding of an area the size of the placental separation. In this paper, 14 cases were diagnosed early B-stripping, suspicious clinical symptoms, but negative for B-ultrasound can not completely rule out placental abruption. Can not rule out placental abruption and clinical report of B-negative, to track the review, observe the conditions underwent ultrasonography placental blood flow within the sound of L2 』. This suspicious in 3 cases of B-ultrasound as early as stripping, but no abnormalities, due to base its reasons (fetal distress, great children, etc.) surgery, intraoperative examination revealed placental abruption. Stripped area were less than 1 / 4. 3.3 abruption female child endangering life, the prognosis is closely related to the timeliness of treatment. Fetus before placental separation may continue to increase, the more severe the longer the disease,You are not allowed to view links. Register or Login, placental abruption, termination of pregnancy if diagnosed promptly. Where the maternal mild symptoms, loose or open cervix large infusion produced by artificial rupture of membrane elements, normal progress of labor from the vaginal delivery. As early as the beginning of maternal and heavy for stripping even fetal death in patients with rapidly by vaginal delivery can not also be the end of cesarean delivery in a timely manner, so as to avoid coagulation disorders, renal dysfunction and other serious complications. 24 Lie cesarean section in this article, of which l4 cases of fetal death, cesarean section births. The incidence of uterine placental abruption stroke 6% ~ 10%,You are not allowed to view links. Register or Login, ① the data of 32 cases of stroke occurred in 14 cases, accounting for 43.75%, far higher than the reported reasons, patients in 32 cases of early, rural women accounted for 27 cases, 12 cases of stroke, little is known about their knowledge of pregnancy, perinatal health awareness is poor, symptoms can not timely treatment, delayed treatment opportunity. Therefore, strengthening the rural areas of hair care can reduce maternal placental abruption, in particular the occurrence of severe early stripping. Stroke by uterine stimulation or drug treatment was generally not a good contraction of excision, only those contractions are poor by various measures will be considered null and void hysterectomy. In this paper 14 cases of stroke in 1 patient continued to show a larger purple after treatment does not shrink uterine muscle, 1 case complicated with DIC coagulopathy hysterectomy subtotal hysterectomy, 12 patients retained the uterus. Therefore, strengthening health care during pregnancy to reduce the accident happened reduce the incidence of pregnancy-induced hypertension can reduce the incidence of placental abruption and maternal and perinatal mortality L3j.

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