238例胎盘早剥的临床分析
郭海洁
【期刊名称】《中国卫生标准管理》 【年(卷),期】2015(000)010
【摘要】目的：分析探讨胎盘早剥的诱发因素、临床特点、漏诊误诊及处理方法，以期提高诊断率、降低并发症。方法利用回顾性病例分析法，对我院自2003年1月～2012年12月收治的238例胎盘早剥病例进行分析。结果胎盘早剥的发生率是0.53%，其中，有明确诱因者占44%，通过急诊入院者占46.3%。除此之外，胎盘异常、脐带异常、羊水过多和妊娠期高血压也是胎盘早剥的诱发因素。结论胎盘早剥诱因多样、发病隐匿、症状不典型，容易导致B超漏诊，孕妇定期进行体检、预防孕期高血压等对预防和尽早处理胎盘早剥有重要的作用。%Objective To study the inducing factors, clinical features, misdiagnosis and treatment method about placental abruption, in order to improve the diagnostic rate and reduce the complication. Methods Retrospectively analyzed the 238 cases of patients with placental abruption in our hospital from January 2003 to December 2012. Results The incidence of placental abruption was 0.53%, among them, 44% with clear incentive, 63% through emergency admissions. In addition, the placenta, an abnormal umbilical cord, hydramnios and gestational hypertension were also causative factors of placental abruption. Conclusion Placental abruption with diverse causes, concealment and untypical symptoms, easily lead to misdiagnosis by ultrasound. So
238例胎盘早剥的临床分析
