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目的探讨帆状胎盘对围生儿的影响。方法我院过去5年分娩孕妇中共发现帆状胎盘36例,对其临床经过、分娩方式及新生儿结局进行回顾性分析。结果 36例孕妇共分娩新生儿40例,除死胎3例,死产1例,存活36例新生儿中,经阴道分娩8例中有3例发生新生儿窒息,发生率为37.5%,剖宫产分娩28例中有2例发生新生儿窒息,发生率为7.1%,明显低于阴道分娩者,二组差异具有统计学意义。结论帆状胎盘是严重危及围生儿生命的疾病,早期诊断,及时处理,是降低新生儿死亡率的关键。
Objective To investigate the influence of sail placenta on perinatal children. Methods 36 cases of sail placenta were found in pregnant women of delivery in the past 5 years in our hospital. The clinical experience, mode of delivery and neonatal outcome were retrospectively analyzed. Results 36 pregnant women delivered 40 newborns in total, except 3 stillbirths, 1 stillbirth, 36 newborns surviving, 3 ascites in 8 of vaginal births, the incidence of neonatal asphyxia was 37.5% Among the 28 cases of delivery, 2 cases had neonatal asphyxia, the incidence was 7.1%, which was significantly lower than that of vaginal delivery. The difference between the two groups was statistically significant. Conclusion The sail placenta is a serious disease that threatens the life of perinatal children. Early diagnosis and timely treatment are the keys to reduce neonatal mortality.