51例胎盘早剥的产前诊断及预防

Prenatal Diagnosis and Prevention of Placental Abruption——Clinical Analysis 51 Cases

目的 :探讨胎盘早剥的发生、产前诊断及预防 .方法 :对分娩的 5 1例胎盘早剥作回顾性分析 .结果 :胎盘早剥夜间发病者居多 ,占 74 4 % .发生在孕周≥ 36周者占 5 8 9% ,并且轻型胎盘早剥的发生率最高为 70 3% ,而重型胎盘早剥以孕周 <36周发生率最高为 71 3% .胎盘早剥的产前诊断率为 4 9% ,B超诊断率为 34 8% .重型胎盘早剥腹痛、胎心异常或消失、子宫张力增高较轻型胎盘早剥发生率高 .轻型胎盘早剥以阴道流血及血性羊水为主要临床表现 .结论 :胎盘早剥的产前诊断需根据临床表现及B超检查进行综合分析方能确诊 .应加强围产期保健 。

Objective: To study the method of prenatal diagnosis and prevention to placental abruption. Methods: Retrospective research 51 cases of placental abruption. Results: The morbidity of placental abruption in night and gestational age≥36 weeks was 74 4% and 58 9% respectively and there was the highest rate in mild cases, 70 3%. The incident rate between 32～36 weeks was the highest to severe cases 57 1%. The correct diagnosis to placental abruption with B-type ultrasound and clinical sighs and symptoms was 34 8% and 49% respectively. There was a higher rate of complicated signs such as abdominal pain, abnormal fatal heart rate, uterine hypertonus was more severe than in mild cases, bloody amnionic fluid was common sign in mild. Conclusion: These results suggested that diagnosis placental abruption must combine with clinical and B-type ultrasound signs. Active prenatal care, treatment and prevention of some diseases that can include placental abruption are needed.