胎盘早剥的临床诊断与处理

Clinical diagnosis and treatment on placental early stripping

目的:探讨胎盘早剥的科学诊断及处理。方法:收治胎盘早剥患者80例,采取有效措施进行科学诊断与处理。结果:宫腔内压力骤减、孕妇血管疾病、外伤等诱因可引发胎盘早剥;胎盘早剥的临床表现及体征包括阴道出血、持续性腹痛、宫底升高、血性羊水、休克低血压、腰腹痛、间歇性腹痛、胎儿窘迫、胎儿音消失、DIC。结论:诊断期间应根据胎盘早剥的临床特点重点加强对患者体征及病情的观察,积极采取有效措施,并结合科学方法对其进行处理,促使围产儿死亡率降低。

Objective:To study the diagnosis and treatment on placental early stripping.Methods:80 patients with placental earlystripping were selected,and the effective measures were taken to diagnose and treat scientifically.Results:Intrauterine pressuredrop,cerebrovascular disease of pregnant women,trauma and other factors can cause placental abruption;the clinicalmanifestations and signs of placental abruption included vaginal bleeding,abdominal pain and uterine fundus increased,forcingthe bloody amniotic fluid,hypotension,lumbar pain,intermittent abdominal pain,fetal embarrassment,fetal sound disappear,DIC.Conclusion:The observation on patients’ signs and disease condition should be strengthen based on the clinical characteristics ofplacental abruption during diagnosis,and take effective measures actively,combined with scientific method to deal with it,in orderto prompt the perinatal mortality.