摘要

CONTEXT:Pregnancies complicated by abruption result in increased frequency of perinatal death and decreased fetal size and gestational duration, yet the extent of placental separation and its effect on these adverse outcomes is unknown.
OBJECTIVE:To assess the contribution of placental abruption and extent of placental separation to stillbirth, preterm delivery, and fetal growth restriction.
DESIGN:Hospital-based, retrospective cohort study.
SETTING:Mount Sinai Hospital, New York City, NY.
PARTICIPANTS:A total of 53,371 pregnancies occurring in 40,789 women who were delivered of singleton births between 1986 and 1996.
MAIN OUTCOME MEASURES:Risks and relative risks for stillbirth (>20 weeks), preterm delivery (

译文

背景: 妊娠并发早剥导致围产期死亡频率增加,胎儿大小和妊娠持续时间减少,然而胎盘分离的程度及其对这些不良结局的影响尚不清楚。
目的: 评估胎盘早剥和胎盘分离程度对死产、早产和胎儿生长受限的影响。
设计: 基于医院的回顾性队列研究。
地点: 纽约州纽约市西奈山医院。
参与者: 53,371 至 40,789 间,1986年名单胎分娩的妇女共怀孕 1996 例。
主要观察指标: 死产 (> 20 周) 、早产的风险和相对风险 (

placental abruption

妇产 胎儿附属物异常 疾病
概述  :  

 胎盘早剥是指在妊娠 20 周后或分娩期,正常位置的胎盘在胎儿娩出前,部分或全部从子宫壁剥离。主要病理改变是底蜕膜出血并形成血肿,使胎盘从附着处分离,内出血急剧增多,可发生子宫胎盘卒中,严重者还可发生弥散性血管内凝血(DIC)等一系列病理改变,危及母儿生命。 分类方法 胎盘早剥目前有两种常用的分类方法。 (1)根据底蜕膜出血并形成血肿的主要病理改变将胎盘早剥分为 3 种类型:①显性剥离:底蜕膜出血,量少时无明显临床表现,血肿增大可出现阴道流血。②隐性剥

placental[plə'sɛntl]

       adj. 胎盘的;胎座的  n. 有胎盘哺乳动物

同根词   词根: placenta

n.placenta [] 胎盘;[] 胎座

       Objective: To study the relation between placental mature grading and fetal pulmonary maturity to improve the level monitoring fetus. 目的:探讨胎盘成熟度分级与胎肺成熟度之间的联系,以提高对胎儿的监测水平。

 

abruption [ə'brʌpʃ(ə)n]  [ə'brʌpʃən]

       n. 分离;中断

       Objective:To investigate the etiology, early diagnosis and treatment of placental abruption . 目的:探讨胎盘早剥的病因、早期诊断及处理方法。

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