摘要
目的探讨不典型胎盘早剥的临床特点。方法对2008年5月-2009年5月收治的55例胎盘早剥患者的临床资料进行回顾性分析。其中产前漏诊30例,疑诊15例,确诊10例。胎盘早剥的产前确诊率为18.2%,漏诊率为54.5%。所有患者均经产后证实。结果重度子痫前期(25.5%)、胎膜早破(12.7%)是胎盘早剥的主要发病诱因;阴道流血(52.7%)、腰腹痛(47.3%)及胎心异常(36.4%)是其常见的临床表现。胎盘早剥者,剖宫产率、胎儿窘迫及早产率均增加。结论不典型胎盘早剥病情隐匿。后壁胎盘、早剥面积小及B型超声检查阴性是漏诊的主要原因。对此患者应提高认识,动态监测,及时处理,以改善母婴结局。
Objective To investigate the clinical characteristics of atypical placental abruption. Methods Between May 2008 and May 2009, 55 placental abruptions were analyzed by retrospective study. Of these cases, there were 30 undiagnosed, 15 suspected and 10 diagnosed cases of placental abruption. All patients were confirmed after delivery. Results The diagnostic rate of placental abruption before delivery was only 18.2% （10/55）, and the undiagnostic rate was 54.5% （30/55）. Severe pre-eclampsia （25.5%）, premature rupture of membrane （12.7%） were the main factors which caused atypical placental abruption, and vagina bleeding （52.7%）, abdominal pain （47.3%） and abnormal fetal heart rate （36.4%） were the main clinical manifestations. The rate of cesarean operation, fetal distress and premature delivery increased among these patients. Conclusions It is difficult to timely diagnose atypical placental abruption because of uncertain predisposing causes and atypical symptoms. Latter wall placenta, small areas of abruption and negative ultrasound inspection are the main reasons for failing in correct diagnosis. We should pay attention to these kinds of patients in order to improve the outcomes of pregnancy.
出处
《华西医学》
CAS
2013年第10期1579-1581,共3页
West China Medical Journal
关键词
不典型胎盘早剥
诊断
妊娠期并发症
Atypical placental abruption
Diagnosis
Pregnancy complications
