摘要
目的探讨胎盘早剥产前诊断和处理。方法回顾性分析1997年1月-2007年1月我院收治的胎盘早剥患者75例。结果妊高征、胎膜早破为其重要诱因。产前诊断率42．67％，B超检出率37．25％。患者并发产后出血（17．33％）、休克（19．35％）、DIC（6．67％）、子宫胎盘卒中（13．33％）。围产儿死亡率22．67％，无孕产妇死亡。结论产前诊断胎盘早剥需结合诱因、临床表现、体征、B超等全面考虑，确诊后应采取积极有效措施改善母婴围产结局。
Objective To explore the prental diagnosis and treatment of abruptio placentae.Methods A retrospective analysis was done in 75 in-patient of abmptio placentae from Jan 1999 to Jan 2005. Results PHI and PROM were the important predisposing causes for, abruptio placentae The prental diagnosis accuracy was 42.67% and the positive predictive value of type-B ultrasonic was 37.25 % . The perlnatal mortality was 22.67 %, and the maternal mortality was 0. Postpartum hemorrhage （ 17.33 % ）, shock （ 19.35 % ）, DIC（6.67% ） ,uteroplacental apoplexy（ 13.33% ） were commonly encountered diseases. Conclusion Comprehensive analysis with predisposing factors, clinical symptoms and assistant examinatio such as type-B ultrasonic are necessary for the prenatal diagnosis of abruptio placenta. After diagnosis confirmed, positive measures should be taken to improve the perinatal outcomes of mothers and infants.
出处
《四川医学》
CAS
2008年第10期1374-1375,共2页
Sichuan Medical Journal
关键词
胎盘早剥
产前诊断
围产结局
abruptio placenta
prenatal diagnosis
perinatal outcomes
