胎盘早剥漏诊原因分析  

Analysis of the missed diagnostic causes of placental abruption

作　　者：折瑞莲[1] 高宇[1] 黎燕[1] 

机构地区：[1]广东省深圳市暨南大学第二临床医学院,广东深圳518001

出　　处：《宁夏医学杂志》2006年第6期425-426,共2页Ningxia Medical Journal

摘　　要：目的分析胎盘早剥产前漏诊的原因,提高产前诊断的准确性。方法回顾性分析1996年1月-2005年12月我院收治的165例胎盘早剥患者的临床资料。结果165例胎盘早剥,产前确诊89例,确诊率53.9%,漏诊76例,漏诊率46.1%;漏诊组中有诱因者占47.4%,仅有胎心异常者占5.3%,胎盘附着于子宫后壁者占61.3%。结论诱因不明显、剥离面积小、后壁胎盘、临床症状不典型是胎盘早剥漏诊的主要原因。Objective To analyze the missed diagnostic causes of placental abruption ante partum and increase the accuracy of prenatal diagnosis. Methods 165 clinical cases of placental abruption were analysed retrospectively in our hospital from Jan. 1996 to Dec. 2005. Results 89 cases were confirmed in these cases, the rate of confirmed diagnosis was 53.9 %. 76 cases were missed in these cases;the rate of missed diagnosis was 46.1% . In the group of missed diagnosis, there were 36 capt.s had predisposing causes and only 4 cases had fetal heart abnormal, the placenta of 46 cases situated in the back of uterine. Conclusion The main missed diagnostic causes of placental abruption were disobvious predisposing cause, little area of placental separation, back placenta of uterine, no typically clinical sympyom.

关 键 词：胎盘早剥 诊断 漏诊 

分 类 号：R714.2[医药卫生—妇产科学]