胎盘早剥的早期诊断

Early Diagnosis of Placental Abruption

目的探讨发病诱因、临床表现和B超检查对胎盘早剥的诊断意义。方法对我院1999年1月～2006年10月48例胎盘早剥患者进行回顾性分析。结果本组胎盘早剥患者早产率31.25%,围生儿病死率10.42%,新生儿窒息率16.3%,产后出血率14.6%,子宫胎盘卒中4.17%,剖宫产率52.1%,B超诊断符合率为28.6%。结论应结合诱因、临床表现和B超等辅助检查尽早对胎盘早剥做出正确诊断,以降低母儿发病率。

Objective To evaluate the risk factors, manifestation and utrasonography examination in the diagnosis of placental abruption. Methods The clinical data of 48 patients with placental abruptiontreated in our hospital from Jan. 1999 to Oct. 2006 were analyzed retrospectively. Results Premature delivery rate was 31.25% ,the perinatal death rate was 10.42% ,choke of neonaty rate was 16.3% , postpartum haemorrhage rate was 14.6% ,uterine upoplexy rate was 4.17% ,cesarean section rate was 52.1% ,ultrasonography diagnosis rate was 28.6%. Conclusions The earlier diagnosis of placental abruption depends on comprehensive analysis risk factors, clinical symptoms and accessory examination such as ultrasonography.