胎盘早剥的产前诊断——附23例临床分析

目的：分析胎盘早剥临床表现和超声检查的意义。方法：对我院1993－1999年间发生的胎盘早剥23例临床资料进行回顾性分析。结果：23例中围产儿患病率52．17％，围产儿病死率39．1％。产后大出血发生率43．47％。产前诊断率为47．83％，超声诊断率为23．81％。临床表现以阴道出血和胎儿窘迫居多。结论：对胎盘早剥的诊断不能过于依赖超声的检查结果，应重视临床表现，分析病史、方能做出正确诊断。

Antenatal Diagnosis of Placental Abruption Clinical Analysis of 23 Cases

Objective:To analyze the manifestation of placental abruption and the significance of ultrasonography examination. Methods:The clinical data of 23 patients with placental abruption treated in our hospital from 1993 to 1999 were analyzed retrospectively.Results:Perinatal morbidity and mortality were 52.17% and 39.13% respectively.Postpartum haemorrhage rate was 43.47% , antenatal diagnosis rate was 47.83% ,and ultrasonography diagnosis rate was 23.81% . The common clinical features of placental abruption were vaginal haemorrhage and fetal distress. Conclusion:The diagnosis of placental abruption depends on not only ultrasonography but also manifestation and history.