116例胎盘早剥的临床分析

目的 探讨胎盘早剥的临床特点、病因、诊断处理、漏诊误诊的原因,提高早期诊断率,降低母儿并发症,改善预后.方法 回顾性分析2006年1月至2012年12月我院收治的116例胎盘早剥的临床资料.结果 胎盘早剥发生率为0.53%,急诊入院患者占46.3%,有明确诱因占44%.以妊娠期高血压疾病、脐带异常、胎盘异常、羊水因素为主.结论 胎盘早剥发病隐匿、诱因不明、症状不典型,B超易漏诊.临床发病到处理时间是影响胎盘早剥轻重程度的重要因素.

Clinical analysis of 116 cases of placental abruption

Objectlve： To enhance the accuracy of early diagnosis and decrease the complication of mother and fetus through studying motivation, clinical manifestation, the causes about missed diagnosis and misdiagnosis of placental abruption. Methods： Clinical data of 116 eases with placental abruption were collected from Jan. 2011 to Dec. 2012 in our hospital and were retrospectively analyzed. Results： The incidence of placental abruption was 0.53%, including emergency patients accounting for 46.3%. About 51 cases had the identified predisposing factors（44% ）, mainly including hypertensive disorders of pregnancy, premature rupture of membrane, with oxytocin and traumatic factors. Conclusion： Placental abruptions are always hidden, with unclear incentives, atypical symptoms and low detection rate by B ultrasonic. The main factors affecting the degree of placental abruption cover those from the onset of the initial clinical sign to the time of treatment.