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目的探讨胎盘早剥的发病诱因,提高胎盘早剥的早期诊断和治疗。方法对45例胎盘早剥的临床资料进行回顾性分析。结果胎盘早剥的发生率为0.36%,妊娠高血压疾病和胎膜早破为其主要原因。主要临床表现为阴道出血、持续性腹痛、血性羊水、胎心率异常或消失。结论识别胎盘早剥的高危因素,根据病史、临床症状和特征、结合B超以及胎心监护综合分析判断,能提高胎盘早剥的早期诊断和治疗。
Objective To explore the causes of placental abruption and improve the early diagnosis and treatment of placental abruption. Methods The clinical data of 45 cases of placental abruption were retrospectively analyzed. Results The incidence of placental abruption was 0.36%, pregnancy-induced hypertension and premature rupture of membranes were the main causes. The main clinical manifestations of vaginal bleeding, persistent abdominal pain, bloody amniotic fluid, fetal heart rate abnormalities or disappearance. Conclusion The identification of high risk factors for placental abruption, based on history, clinical symptoms and features, combined with B-ultrasound and fetal heart monitoring comprehensive analysis and judgment, can improve the early diagnosis and treatment of placental abruption.