胎盘早剥的早期诊断和处理

The Early Diagnosis and Management of Placenta Abruption

目的总结56例胎盘早剥的临床特点,探讨胎盘早剥的早期诊断、处理要点。方法回顾性分析2003年1月～2008年12月胎盘早剥的患者56例患者的资料。结果 I度胎盘早剥23例,II度胎盘早剥17例,III度胎盘早剥16例。所有的患者均经B超检查,35例提示胎盘早剥,诊断阳性率为62.5%。余21例无明显临床症状仅有胎心异常,局部轻压痛或腰骶酸痛,在产后和术后检查胎盘发现胎盘早剥。结论重视诱因,产前检查和临床表现,结合B超及其他不典型症状,有助于胎盘早剥的早期诊断,及时处理可改善孕产妇和围产儿的产科结局。

Objective To investigate the early diagnosis and treatment of placenta abruption through the research of the clinical characteristics of 56 cases. Method Data of 56 cases of placenta ahmption were reviewed from Jan 2003 to Dec 2008. Results There were 23 cases of Grade I, 17 cases of Grade II, and 16 cases of Grade III. The most frequent causes were hypertensive disorder complicating pregnancy and premature rupture of membrane. All the patients were under the B ultrasound examination, which suggested 35 cases of placenta abruption, so the diagnosis rate was 62.5%. There were no obvious symptoms in other cases, or with only abnormal fetal heart rate, mild tenderness, sore in lumbosacral region. Conclusion It is helpful to the early diagnosis of placenta abruption with the causes, prenatal examination and clinical symptom, as well as the B ultrasound examination and other atypical symptoms. The early management can improve maternal and fetal outcome.