胎盘早剥的诊断和处理策略

胎盘早剥是妊娠晚期发生的一种危急重症，多致严重的产前和（或）产后出血，危及母儿生命。其典型症状为突发持续性腹痛，伴或不伴阴道流血，危重者可出现休克、弥漫性血管内凝血（DIC）等。超声、实验室检查及胎心监护可实时监测病情的进展，根据病情进展和胎儿宫内状况综合评估终止妊娠的时机和方式，争取良好的母儿结局。

Diagnosis and treatment strategy of placental abruption.

Abstract：Placental abruption is a severe complication which occurs in late-trimester，and it causes serious antepartum hemorrhage and （or） postpartum hemorrhage leading maternal or fetal death.Typical symptoms are sudden persistent abdominal pain，being with or without vaginal bleeding and severe shock，and DIC can occur.The use of ultrasound，laboratory tests and electronic fetal monitoring can provide real-time supervision of the development of the disease.According to the progress of the disease and the fetal condition the best timing and way to terminate pregnancy can be decided in order to have good maternal-fetal outcome.