妊娠晚期绒毛膜后巨大血肿的临床分析

目的:探讨孕晚期发现的绒毛膜后巨大血肿的临床表现、诊断及治疗。方法:回顾性分析北京大学第三医院2004年7月～2009年2月7例绒毛膜后巨大血肿的临床资料,对其临床表现、超声影像学的诊断和临床治疗经过进行分析。结果:绒毛膜后巨大血肿的特征性临床表现为阴道流血及腹痛,需要与胎盘早剥进行鉴别,通过超声检查、产时情况及胎盘检查明确诊断。治疗采用个体化原则,根据临床表现及孕周情况决定终止妊娠时间和方式。结论:绒毛膜后巨大血肿临床上易发生误诊,需要加强监测,适时终止妊娠,从而减少严重并发症的发生,改善母儿预后。

Clinical analysis of massive subchorionic hematoma in late pregnancy

Objective:To explore the clinical manifestations,diagnosis and treatment of massive subchorionic hematoma in late pregnancy.Methods:Clinical data of 7 cases with massive subchorionic hematoma in late pregnancy in the hospital from July 2004 to February 2009 were analysed retrospectively,the clinical manifestations,diagnosis of ultrasound and treatment were analysed.Results:The characteristic clinical manifestations of massive subchorionic hematoma included vaginal bleeding and bellyache,which needed to be d...