帆状胎盘血管前置(13例临床分析)  

Vasa Previa of Velamentous Placenta

作　　者：盖铭英[1] 唐敏一[1] 边军辉[2] 

机构地区：[1]中国医学科学院北京协和医院妇产科 [2]协和医科大学

出　　处：《北京医学》1989年第4期204-206,共3页Beijing Medical Journal

摘　　要：本文报道了13例帆状胎盘血管前置的病例。对其临床表现、胎儿预后、诊断,处理及胎盘检查进行了分析,前置血管破裂可发生于胎膜破裂前或破裂时,多伴有胎心变化,胎儿死亡率达60%,出血量>100 ml,胎儿无一存活,产前常很难诊断,产前出血时需立即听胎心,并检凝血标本,以明确是否为胎儿出血。肛查注意,有无血管搏动,或以羊膜镜观察或以B超声检查,有时可以诊断,一经确诊,若胎儿可抢救活,须立即终止妊娠。13 cases of vasa previa of velamentous placenta were reported. The clinical features, diagnosis, management, fetal prongsis and placntal examination were analysed. Rupture of vasa previa may occur before or during the rupturing of the membranes, most of the cases were associated with the change of fetal heart rate, The fetal mortality was 60%, but it reached 100% in the cases with hemorrheage over 100ml. It was difficult to make a definite diagnosis before birth . Once antepartum hemorrheage occurs, fetal heart rate shoud be examined and the blood should be determined immediately, as if the bleeding. Come from the fetus. Pulsation of blood vessels shoud be noticed from rectal examination. Amnioscopic examination and Bultrasonic examination may be helpful to make the diagnosis. After the diagnosis and possibility of surviving fetus is confirmed, termination of pregnancy is adviced as soon as possible.

关 键 词：胎盘 血管前置 临床分析 

分 类 号：R714.56[医药卫生—妇产科学]