血性羊水1例临床分析

羊水的量、羊水的成分、羊水中脱落细胞、羊水的性状与胎儿密切相关，临床上最常见、最受关注的是羊水粪染，而血性羊水由于相对较少，对它的研究亦少。胎死官内，羊水呈红褐色，浑浊如肉汁状。胎盘早剥羊水为粉红色或鲜红色。只要看见血性羊水首先考虑的是胎盘早剥或死胎。血性羊水如不合并胎膜早破，仅能依靠超声提示羊水中见回声光点增多，如有血凝块还可见羊水内漂浮弱回声。有报道胎盘早剥超声中观察到血性羊水表现的可达50％。本例患者系脐带帆状附着破裂出血，且在羊水中找到大量的有核红细胞。但患者出血时间短，脐带破口小，产程进展快，否则如果出血过多，则不能挽救胎儿。

Courage and uprightness amniotic fluid example clinical analysis

The amniotic fluid quantity, in the amniotic fluid ingredient, the amniotic fluid falls off the cell, the amniotic fluid character and the embryo is connected closely, on clinical most is common, most receives pays attention is the amniotic fluid excre- ment dyes, but courage and uprightness amniotic fluid because relative few, are also few to its research. In the embryo dead palace, the amniotic fluid assumes the sorrel, the pollution like meat broth shape. The placenta exhausted amniotic fluid is early the pink or bright red. So long as the visible courage and uprightness amniotic fluid first considers is the placenta early exhausted or the still birth. The courage and uprightness amniotic fluid like does not merge the fetal membrane early broken, only can depend upon in the supersonic prompt amniotie fluid to see the echo luminous spot to increase, if has in the blood clot also obvious amniotie fluid to float the weak echo. Has the report placenta exhaustedly supersonic to observe the courage and uprightness arnniotie fluid performance to be possible early to reach 50%. This example patient is the umbilical cord sail shape adheres to stick cohere the breakage hemorrhage, also found massively in the amniotic fluid has the nuclear red blood cell. But the patient bleeds the time to be short, the umbilical cord erack is small, the course of childbirth progresses quickly, otherwise if bleeds excessively many, then cannot save the embryo.