胎盘早剥41例临床分析

目的:通过41例胎盘早剥的临床分析,探讨其早期诊断指标,减少漏诊与误诊。方法:对内蒙古自治区医院5年中41例胎盘早剥的病例进行回顾性分析,观察指标包括胎盘早剥的诱因、临床表现、B超诊断率和母婴预后。结果:胎盘早剥的发生率为0.85%。妊高征31.7%及胎膜早破17.1%为重要的发病诱因。常见的临床表现有腰腹痛的占63.3%,产前出血48.8%。B超对胎盘早剥的早期诊断有一定帮助。结论:根据临床表现及辅助检查进行动态观察,做到早期诊断、早期干预,降低漏诊误诊率,改善母婴预后。

Clinical Analysis of Placental Abruption(Report of 41 cases)

Objective:To analyze clinical manifestations of placental abruption and discuss on the index of ealy diagnosis for decreasing the rate of missed diagnosis and misdiagnosis.Methods:41 cases of placental abruption in recently years in our hospital were retrospectively analyzed.The inducement of placental abruption,clinical manifeatations,diagnosis rate of B ultrasound and prognosis of maternal and infant were observed.Results:The incidence of placental abruption was 0.85%.Pregnancy-induced hypertension syndrome(31.7%)and premature rupture of membrance(17.1%) were the main inducement of placental abruption.The common clinical manifestations of placental abruption included abdominal pain(63.3%)and antepartum hemorrhage(48.8%).B ultrasound examination was helpful to early diagnosis.Conclusion:Based on clinical manifestations and dynamic observation by assistant examinations,early diagnosis,early intervention should be recommended for lessening the rate of missed diagnosis and misdignosis and improving the prognosis of maternal and infant.