摘要
目的探讨胎盘早期剥离 (胎盘早剥) 的产前诊断和处理。方法对我院近 10 年发生的 13 例胎盘早剥作回顾性分析。结果妊高征及慢性高血压病占本组病因的46. 2%。本组围产儿死亡率为 23. 08%, 孕产妇死亡率为0。子宫卒中发生率46 .15%, 产后出血30. 77%, DIC 7. 70%。阴道出血、腹痛、胎心异常或消失、血性羊水为主要临床表现。产前诊断率为46 .15%, B超检出率为 60%。结论胎盘早剥的诊断需结合患者临床表现、发病诱因、B超检查结果全面考虑, 确诊后应尽快终止妊娠。
Objective To discuss the prenatal diagnosis and management of placental abruption.Methods Thirteen patients with placental abruption were reviewed.Results Pregnancy-induced hypertension syndrome and chronic hypertension were the main pathogeny of this disease(46.2%).The perinatal death rate in this group was 23.08%,while maternal mortality rate was 0.The incidence of uterine apoplexy was 46.15% and that of postpartum hemorrhage was 30.77%,and DIC was 7.70%.Vaginal hemorrhage,pain in lower abdomen,abnormality or disappearance of fetal heart rhythm,and bloody amniotic fluid were the four main clinical manifestations.The accuracy of prenatal diagnosis in this group was 46.15%,and the sensitivity of ultrasonographic diagnosis was 60%.Conclusion The diagnosis of placental abruption needs comprehensive analysis with clinical symptoms pathogeny and accessory examinations such as ultrasonography.Once the disease is diagnosed as placental abruption,the pregnency should be stopped.
出处
《福建医药杂志》
CAS
2005年第1期13-14,共2页
Fujian Medical Journal
