胎盘早剥的B超检查及临床表现(附40例分析)

Clinical observation and B-scan ultrasonography placental abruption(analysis of 40 cases)

目的 :为了加强对胎盘早剥的认识 ,提高确诊率。方法 :对有完整记载的 40例胎盘早剥进行回顾性分析 ,这些患者均由临床医生及助产士提供可疑信息 ,由本科B超室观察胎盘形态学的变化 ,再经产后检查胎盘而对照研究。结果 :40例胎盘早剥病例由B超检查确诊 38例 ,另 2例胎盘附着于子宫后壁 ,又为轻度早剥 ,B超检查无阳性发现 ,根据临床观察与体征而确诊。 32例剖宫产 ,8例经阴道分娩 ,死胎 3例 ,无产妇死亡。结论 :临床观察与B超检查是诊断胎盘早剥快捷而准确的方法 ,为临床及时采取适当的分娩方式 。

Objective:To highlight the knowledge of placental abruption and to improve the rate of correct diagnosis.[WT5”HZ]Methods:[WT5”BZ]40 cases of placental abruption were analyzed retrospectively.Their suspectable information was found by clinical doctors and midwives.Then they observed the placental changes of morphology by B scan ultrasonography,and diagnosed correctly by checking the placentas after delivery.Results:Among 40 cases of placental abruption,38 cases were diagnosed with slight abruption.But in these cases,there were no positive findings by B scan.They were diagnosed according to clinical observation and presentation.32 cases delivered by cesarean section and 8 cases by vagina.3 cases also had fetal death and no patients died.Conclusion:Clinical observation and B scan ultrasonography are fast and accurate methods to diagnose placental abruption.Timely and appropriate delivery style can insure the patients and their child safe.