不典型胎盘早剥误诊分析  

Analysis on misdiagnose of atypical placental abruption

作　　者：张海鹰[1] 蔡如玉[1] 

机构地区：[1]暨南大学医学院第二附属医院,518020

出　　处：《中国妇幼保健》2005年第7期846-847,共2页Maternal and Child Health Care of China

摘　　要：目的:探讨不典型胎盘早剥的误诊原因以及减少误诊的对策。方法:对我院收治的2例不典型胎盘早剥病例进行回顾性分析。结果:2例主要表现为伴有腰痛、腰酸的下腹疼痛和死胎,均误诊为先兆早产。因胎盘早剥行剖宫产术,2例均出现严重的子宫胎盘卒中,其中1例出现急性肾功能衰竭和弥漫性血管内凝血,最终均治愈出院。结论:对不典型胎盘早剥缺乏足够的警惕是造成延误诊断的主要原因。重视临床症状及体征,提高B超的诊断水平有助于对不典型胎盘早剥的早期诊断。Objective: To explore the causes for misdiagnose of atypical placental abruption and its countermeasures.Methods:2 cases of atypical placental abruption admitted in this hospital were retrospectively analyzed.Results:Main clinical manifestation of two patients misdiagnosed as threatened abortion included lower abdominal pain accompanied with lumbago and distress in the loins and intrauterine fetal death. Two cases accepted cesarean section for placental abruption all appeared severe uteroplacental apoplexy, while one complicated with acute renal function failure and disseminated intravascular coagulation, but two ones all cured and left hospital finally.Conclusion:Lack of sufficient vigilance on atypical placental abruption is the main cause of misdiagnosis. Paying more attention to clinical symptoms and signs and increasing the level of ultrasonic diagnosis are be of help to early diagnosis.

关 键 词：胎盘早剥 诊断 误诊 妊娠结局 

分 类 号：R714[医药卫生—妇产科学]