胎盘早期剥离98例分析  

Abruptio Placentae:An Analysis of 98 Cases

作　　者：潘永观[1] 朱海斌[1] 

机构地区：[1]浙江大学医学院附属妇产科医院,浙江杭州310006

出　　处：《浙江大学学报（医学版）》2000年第1期33-35,共3页Journal of Zhejiang University(Medical Sciences)

摘　　要：目的:探讨胎盘早期剥离(胎盘早剥)的产前诊断和处理。方法:对近6年中共98例胎盘早剥作回顾性分析。结果:围产儿死亡率为13.86%,孕产妇死亡率为0。子宫卒中12.24%,产后出血11.22%,DIC4.08%。阴道出血,血性羊水,下腹疼痛,胎心异常或消失,子宫张力增高伴压痛为5个主要临床表现。本组产前诊断率为37.78%,B超检出率为31.34%。胎盘早剥时脐动脉血流S/D值升高。结论:胎盘早剥的诊断需临床表现结合B超等辅助检查全面考虑,确诊后应尽快终止妊娠。Objective:To discuss the prenetal diagnosis and management of abruptio placentae.Me- thods:Ninety-eightpatients with abruptio placentae were reviewed.Results:The perinatal death rate in this group was 1 3 .86 % ,while maternal mortality rate was 0 .The incidence of uterine apoplexy was 1 2 . 2 4 % and that of postpartum hemorrhage was1 1 .2 2 % ,and DIC was4 .0 8% .Vaginal hemorrhage, bloody amniotic fluid,pain in lower abdomen abnormality or disappearance of fetal heart rhythm and hypertonic uterus with tenderness were the five main clinical manifestations.The accuracy of prenatal diagnosis in this group was3 8.78% ,and the sensitivity of ultrasonographic diagnosis was3 1 .3 4% .The S/ D radio of umbilical artery became higherin cases of abruptio placentae.Conclusion:The diagnosis of abruptio placentae needs comprehensive analysis with clinical symptoms and accessory examinations such as ultrasonography.

关 键 词：胎盘早剥 治疗 剖宫产术 超声波诊断 

分 类 号：R714.56[医药卫生—妇产科学]