胎盘早剥的病因及产前诊断与处理

The etiology and prenatal diagnosis and management of placental abruption

目的:探讨胎盘早剥的病因、产前诊断和处理。方法:对近年来我院收治的68例胎盘早剥做回顾性分析。结果:妊娠期高血压疾病、外伤、胎膜早破、实体胎盘早剥为主要病因,阴道出血、下腹痛、胎心音异常或消失、血性羊水、子宫张力增高、子宫压痛是主要临床表现。B超诊断符合率39.39%。结论:胎盘早剥的病因复杂,诊断依赖临床表现结合B超等辅助检查全面考虑,确诊后应尽快终止妊娠,分娩方式以剖宫产为主。

Objective： To discuss the etiology and prenatal diagnosis and management of placental abmption. Methods： Sixty - eight patients with placental abruption were reviewed. Results： Hypertensive disorder comphcating pregnancy, trauma, premature rapture membrane were the main causes of placental abruption. Vaginal hemorrhage, pain in lower abdomen, abnormality or disappearance of fetal heart rhythm, bloody amniotic fluid, hypertonic uterus and tenderness of uterus were the main clinical manifestations. The sensitihty of ultrasonographic diagnosis was 39.39%. Conclusion： The etiology of placental abmption was complex. The diagnosis of placental abmption needs comprehensive analysis with clinical symptosis and accessory examinations such as ultrasonography. After diagnosis, the pregnancy should be terminated as soon as possible. Cesarean section was the main maner.