胎盘早期剥离98例分析

目的：探讨胎盘早期剥离（胎盘早剥）的产前诊断和处理。方法：对近６年中共９８例胎盘早剥作回顾性分析。结果：围产儿死亡率为１３．８６％，孕产妇死亡率为０。子宫卒中１２．２４％，产后出血１１．２２％，ＤＩＣ４．０８％。阴道出血，血性羊水，下腹疼痛，胎心异常或消失，子宫张力增高伴压痛为５个主要临床表现。本组产前诊断率为３７．７８％，Ｂ超检出率为３１．３４％。胎盘早剥时脐动脉血流Ｓ／Ｄ值升高。结论：胎盘早剥的诊断需临床表现结合Ｂ超等辅助检查全面考虑，确诊后应尽快终止妊娠。

Abruptio Placentae:An Analysis of 98 Cases

Objective:To discuss the prenetal diagnosis and management of abruptio placentae.Me- thods:Ninety-eightpatients with abruptio placentae were reviewed.Results:The perinatal death rate in this group was 1 3 .86 % ,while maternal mortality rate was 0 .The incidence of uterine apoplexy was 1 2 . 2 4 % and that of postpartum hemorrhage was1 1 .2 2 % ,and DIC was4 .0 8% .Vaginal hemorrhage, bloody amniotic fluid,pain in lower abdomen abnormality or disappearance of fetal heart rhythm and hypertonic uterus with tenderness were the five main clinical manifestations.The accuracy of prenatal diagnosis in this group was3 8.78% ,and the sensitivity of ultrasonographic diagnosis was3 1 .3 4% .The S/ D radio of umbilical artery became higherin cases of abruptio placentae.Conclusion:The diagnosis of abruptio placentae needs comprehensive analysis with clinical symptoms and accessory examinations such as ultrasonography.