胎盘早剥的早期诊断及处理探讨  

作　　者：金细强[1] 张秀果[1] 

机构地区：[1]广东医学院附属厚街医院妇产科,广东东莞523960

出　　处：《中外健康文摘》2009年第03X期24-25,共2页The Chinese and foreign health abstract

摘　　要：目的探讨胎盘早剥的临床表现、早期诊断指标及早期治疗，以减少漏诊和误诊。方法对我院5年66例胎盘早剥的病例进行回顾性分析。结果轻型胎盘早剥临床表现不典型，重型胎盘早剥临床表现典型，以持续性腹痛、宫缩间期不松弛、阴道流血多见．B超诊断率高．但预后差。结论根据临床表现及辅助检查进行动态观察，做到早期诊断、早期治疗，避免误诊漏诊，改善预后。Objective. To explore the clinical manifestation and early diagnosis of placental abruption and early treatment,in order to reduce the missed and misdiagnosis.Methods： Sixty-six cases of placental abruption in our hospital duriang five years were retrospectively analyzed.Result：The clinical manifestation of mild placental abruption was mostly atypical.The clinic manifestation of severe type was typical. It included continuous abdominal pain,the uterine not relax between contractions and vaginal bleeding. It had higer ultrasonic diagnosis rate. But the outcome of pregnancy was poor. Conslusion.According to the clinic manifestation,assistant examination and continuous observation,early diagnosis and proper treatment can improve prognosis as well as reduce missed diagnosis and misdiagnosis.

关 键 词：胎盘早剥 早期诊断 B超诊断率 妊娠结局 

分 类 号：R714.56[医药卫生—妇产科学]