119例胎盘早剥的临床分析
余关佳;李俊男;王琳;刘颖蔚;常青
【期刊名称】《实用妇产科杂志》 【年(卷),期】2011(027)002
【摘要】目的:分析胎盘早剥漏诊、误诊原因,提高早期确诊率,降低母儿并发症.方法:回顾性分析我院10余年胎盘早剥患者的临床资料.结果:我院胎盘早剥发生率0.52%.急诊入院患者占46.2%,有明确发病诱因51例(42.9%),以妊娠期高血压疾病、胎膜早破、外伤性因素为主.临床表现主要为腰腹胀或腹痛、阴道流血、血性羊水.B超检出率66.4%.轻型胎盘早剥52例(43.7%),重型胎盘早剥67例(56.3%),出现症状到就诊及处理时间重型早剥组均长于轻型早剥组(P<0.01).子宫胎盘卒中6例,弥散性血管内凝血(DIC)1例.剖宫产85例(71.4%),阴道分娩33例(27.7%),子宫次全切除1例.死胎19例,转新生儿重症监护室29例.结论:临床发病到临床处理时间是影响胎盘早剥轻重程度的重要因素;胎盘旱剥临床表现易与先兆临产、临产或胎儿窘迫等混淆;后壁胎盘、发育异常的胎盘等发生胎盘早剥时,超声容易漏诊.%Objective: To explore the causes of missed diagnosis and misdiagnosis in placental abruption,enhance the accuracy of early diagnosis, and decrease the complication of mother and fetus. Methods:The clinical data of 119 cases with placental abruption were retrospectively reviewed from January 1998 to May 2010 in our hospital. Results: The incidence of placental abruption was 0. 52％. Emergency patients accounted for 46. 2％. 51 cases had the main predisposing factors(42.9％ ), mainly including hypertensive disorders complicating
119例胎盘早剥的临床分析
