胎盘早期剥离的早期诊断(附46例临床分析)

目的 :探讨发病诱因、临床表现和超声检查对胎盘早期剥离 (PA)的诊断意义。方法 :对 1995年 1月～2 0 0 1年 12月我院 4 6例PA患者作回顾性分析。结果 :早产率 5 6 .6 2 % ,围产儿死亡率 4 1.3% ,新生儿青紫窒息 2 8.2 6 %。产后出血、子宫卒中各 15 .2 2 % ,DIC、失血性休克各 8.70 %。该组产前诊断率 5 4 .35 % ,B超检出率 6 0 .98%。临床表现主要为阴道流血 ,下腹疼痛 ,子宫张力增高。结论 :PA严重威胁母儿生命 ,应结合诱因、临床表现和B超等辅助检查尽早对其作出正确诊断。

EARLY DIAGNOSIS OF PLACENTAL ABRUPTION (CLINICAL ANALYSIS OF 46 CASES)

Objective:To evaluate the risk factors, manifestation and utrasonography examination in the diagnosis of placental abruption. Methods:The clinical data of 46 patients with placental abruption treated in our hospital from 1995 to 2001 were analyzed retrospectivly.Results:Premature delivery rate was 56.62%, the perinatal death rate in this group was 41.3%.Postpartum haemorrhage and uterine upoplexy rates were both 15.22%, the incidence of shock because of the blood losing and DIC were both 8.70%,antenatal diagnosis rate was 54.35%, and ultrasonography diagnosis rate was 60.98%. The common clinical features of placental abruption were vaginal haemorrhage, pain in lower abdomen and hypertonic uterus. Conclusion:The diagnosis of PA depends on comprehensive analysis risk factors, clinical symptoms and accessory examination such as ultrasonography.