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目的:探讨不典型胎盘早剥的临床表现及发病诱因,以提高不典型胎盘早剥的早期诊断水平。方法:对长春市人民医院2003年1月～2010年7月收治的25例不典型胎盘早剥患者的临床表现和发病诱因进行回顾性分析,并将其与45例典型胎盘早剥病例的超声影像及临床症状相比较。结果:典型胎盘早剥主要诱因是妊娠期高血压疾病,主要表现为腹痛、阴道流血、“板样腹”。而不典型胎盘早剥的主要诱因是胎膜早破,主要表现为胎心异常和下腹胀痛。结论:当产妇出现胎心异常伴有与产程进展不成正比的腹痛时,需警惕不典型胎盘早剥的发生。
Objective: To investigate the clinical manifestations and pathogenesis of atypical placental abruption in order to improve the early diagnosis of atypical placental abruption. Methods: The clinical manifestations and incidence of 25 cases of atypical placental abruption admitted from January 2003 to July 2010 in Changchun People’s Hospital were retrospectively analyzed. The results were compared with those of 45 cases of typical placental abruption Imaging and clinical symptoms compared. Results: The main cause of typical placental abruption is hypertensive disorder complicating pregnancy. The main manifestations are abdominal pain, vaginal bleeding and “plate-like abdomen.” The main cause of atypical placental abruption is premature rupture of membranes, mainly for abnormal fetal heart rate and abdominal pain. CONCLUSIONS: It is necessary to guard against the occurrence of atypical placental abruption when the mother has an abnormal fetal heart rate accompanied by abdominal pain that is not proportional to the progress of labor.