不典型胎盘早剥的早期诊断

Early diagnosis of atypical placental abruption

目的：提高不典型胎盘早剥的早期识别能力,提高早期诊断率,降低孕产妇及围产儿病死率。方法：对2007年10月~2014年9月我院接诊的67例胎盘早剥孕妇的临床资料进行回顾性分析。结果：胎盘早剥发生率为0.76%（67/8845）,产前诊断率为61.2%（41/67）,围产儿死亡率为5.9%（4/67）,孕产妇死亡率为0。结论：早期识别胎盘早剥的临床特点,注意动态观察,结合B超及实验室检查早期诊断,及时处理,可改善母儿预后。

Objective：By identifying early symptoms of atypical placental abruption,we aim to improve early diagnosis rate, and reduce maternal and perinatal mortality.Methods：Clinical data of sixty-seven cases of placental abruption pregnant women between October 2007 and September 2014 were analyzed retrospectively.Results：The incidence rate of the abruption was 0.76%（67/8845）,prenatal diagnosis rate was 61.2%（41/67）,perinatal neonate mortality was 5.9%（4/67）,the maternal mortality was 0.Conclusion：Early recognition and dynamic observation of clinical characteristics,combined with ultrasonography and laboratory tests were important for the early diagnosis of placental abruption.Timely treatment should be emphasized to improve the maternal and neonate prognosis.