Ozumba B C
Department of Obstetrics and Gynaecology, University of Nigeria Teaching Hospital, Enugu, Anambra State.
Aust N Z J Obstet Gynaecol. 1989 May;29(2):117-20. doi: 10.1111/j.1479-828x.1989.tb01698.x.
A total of 81 cases of abruptio placentae treated in a 3-year period at the University of Nigeria Teaching Hospital, Enugu is reported. The incidence of 0.44% found in the study is low when compared to reports from Europe. The outstanding clinical features were high parity, low incidence of renal failure, hypertension and proteinuria. The perinatal mortality of 58% is quite high while 2 mothers who were referred to the Teaching Hospital in poor condition died. Management was by rapid and adequate resuscitation by blood transfusion and delivery as soon as the diagnosis was made. The absence of maternal mortality amongst mothers who received antenatal care at the University Teaching Hospital emphasizes the need for adequate antenatal and intrapartum care in order to eliminate the complications of this obstetrical enigma.
本文报告了尼日利亚大学教学医院（位于埃努古）在3年时间里收治的81例胎盘早剥病例。与欧洲的报告相比，该研究中发现的0.44%的发病率较低。突出的临床特征是多产、肾衰竭、高血压和蛋白尿的发生率低。围产期死亡率为58%，相当高，同时有2名病情严重被转诊至教学医院的母亲死亡。一旦确诊，治疗方法是通过输血进行快速充分的复苏并尽快分娩。在大学教学医院接受产前护理的母亲中没有孕产妇死亡，这强调了需要充分的产前和产时护理，以消除这一产科难题的并发症。
