【摘要】 目的：探讨胎盘早剥发病诱因、临床表现及对母儿结局的影响。方法：回顾性分析2012年1月-2013年12月笔者所在医院收治的122例胎盘早剥患者临床资料。结果：轻型胎盘早剥84例，重型胎盘早剥38例，主要诱因为妊娠期高血压疾病；重型胎盘早剥患者下腹疼痛、胎心异常、子宫板状硬伴压痛明显高于轻型胎盘早剥患者(P<0.05)，但两者阴道流血、血性羊水比较差异均无统计学意义(P>0.05)；产前行超声检查提示胎盘早剥98例(80.33%)；重型胎盘早剥剖宫产、重度新生儿窒息、死胎、产后出血、子宫胎盘卒中发生率高于轻型胎盘早剥，差异均有统计学意义(P<0.05)。结论：提高对胎盘早剥的认识，及时发现胎盘早剥的诱因，及时产前诊断及处理，以降低孕产妇及围产儿患病率和死亡率。

    【关键词】 胎盘早剥； 并发症； 妊娠结局

    中图分类号 R714.46 文献标识码 B 文章编号 1674-6805(2015)19-0036-03

    【Abstract】 Objective：To explore the causes of placental abruption and clinical manifestations and its effect on the mothers and their infants.Method：The clinical data of 122 patients with placental abruption in our hospital from January 2012 to December 2013 were analyzed retrospectively.Result：84 mild placental abruption patients and 38 severe placental abruption patients were included in this study.The main incentive of placental abruption was hypertensive disorders complicating pregnancy.Abdominal pain ......