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3
Placental abruption in term and preterm gestations: evidence for heterogeneity in clinical pathways.足月和早产时的胎盘早剥：临床路径异质性的证据。
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4
Intrapartum late deceleration develops more frequently in pre-eclamptic women with severe proteinuria.产时晚期减速在患有严重蛋白尿的子痫前期女性中更频繁地出现。
J Obstet Gynaecol Res. 2006 Feb;32(1):68-73. doi: 10.1111/j.1447-0756.2006.00353.x.
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Perinatal mortality associated with abruptio placenta in singletons and multiples.单胎和多胎妊娠中与胎盘早剥相关的围产期死亡率。
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6
First-trimester placentation and the risk of antepartum stillbirth.孕早期胎盘形成与产前死产风险
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7
Is fetal gender significant in the perinatal outcome of pregnancies complicated by placental abruption?胎儿性别对并发胎盘早剥的妊娠围产期结局有影响吗？
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8
Preterm premature rupture of membranes, intrauterine infection, and oligohydramnios: risk factors for placental abruption.胎膜早破、宫内感染和羊水过少：胎盘早剥的危险因素。
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The effect of placental abruption on the short-term outcome of premature infants.胎盘早剥对早产儿短期预后的影响。
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10
Unselected low-risk pregnancies and the effect of continuous intrapartum fetal heart rate monitoring on umbilical blood gases and cerebral palsy.未选择的低风险妊娠以及产时连续胎儿心率监测对脐血气和脑瘫的影响。
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胎盘早剥的围产期结局是否因临床表现而有所改变？

Is the perinatal outcome of placental abruption modified by clinical presentation?

作者信息

Furukawa Seishi, Sameshima Hiroshi, Ikenoue Tsuyomu, Ohashi Masanao, Nagai Yoshio

机构信息

Department of Obstetric & Gynecology, Faculty of Medicine, University of Miyazaki, Miyazaki 889-1692, Japan.

出版信息

J Pregnancy. 2011;2011:659615. doi: 10.1155/2011/659615. Epub 2010 Oct 5.

DOI:10.1155/2011/659615
PMID:21490793
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3066573/
Abstract

OBJECTIVE

The purpose of this study was to elucidate the impact of the clinical presentation on perinatal outcome in placental abruption.

STUDY DESIGN

A retrospective study was performed in 97 placental abruptions. Placental abruptions were classified according to clinical presentation: pregnancy-induced hypertension (HT, n = 22), threatened premature labor and/or premature rupture of membranes (TPL/ROM, n = 35), clinically low risk (LR, n = 27), and others (n = 13). Perinatal outcomes were compared among the HT, TPL/ROM, and LR groups.

RESULTS

The HT had significantly higher incidence of IUGR, IFUD, and low fibrinogen. The TPL/ROM had less severe disease. However, the LR had significantly higher incidence of IUFD, low UA pH < 7.1, low Apgar score of <7 at 5 min, and low fibrinogen.

CONCLUSION

Disease severity in placental abruption is likely to depend on the clinical presentation.

摘要

目的

本研究旨在阐明胎盘早剥临床表现对围产期结局的影响。

研究设计

对97例胎盘早剥患者进行回顾性研究。胎盘早剥根据临床表现分类：妊娠高血压（HT，n = 22）、先兆早产和/或胎膜早破（TPL/ROM，n = 35）、临床低风险（LR，n = 27）以及其他（n = 13）。比较HT、TPL/ROM和LR组的围产期结局。

结果

HT组胎儿生长受限（IUGR）、胎儿宫内死亡（IFUD）和纤维蛋白原降低的发生率显著更高。TPL/ROM组病情较轻。然而，LR组胎儿宫内死亡（IUFD）、脐动脉pH值<7.1、5分钟时阿氏评分<7以及纤维蛋白原降低的发生率显著更高。

结论

胎盘早剥的疾病严重程度可能取决于临床表现。