Treatment and Monitoring of Uterine Apoplexy Induced by Placental Abruption
Objective To explore the principle of treatment and monitoring of uterine apoplexy induced by placental abruption.Methods 28 cases of uterine apoplexy with placental abruption in my hospital in the recent 5 years were analyzed retrospectively. Explored the treatment principle and the corresponding measures relating clinic.Results Among 28 cases of placental abruption with uterine apoplexy which had cesarean section to make the pregnancy to the end timely and took the fetus and placental out, after handling timely and properly, 22 cases retained the uterus, 4 cases had subtotal hysterectomy because of hematorrhea difficult to control, 2 cases had total hysterectomy because of big area of uterine apoplexy and being ineffectually handled.Conclusion Placental abruption with uterine apoplexy are badly dangerous to the lives of mother and infant. The pregnancy should be made to the end timely. But uterine apoplexy is not the indication of subtotal hysterectomy. Most uterus can be retained and the incidences of the death of mother and infant can be decreased if being handled timely and properly.