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胎盘早期剥离是较严重的产科并发症,虽然发生率不高,但其严重威胁母儿生命。而其诊断的迟早、处理是否及时与母婴的预后有着密切的关系。本文就我院1996～1999年间发生的胎盘早剥15例进行分析如下。 1临床资料 1.1一般资料:患者年龄21～34岁,平均26岁,孕28周2例,孕32周4例,孕33周2例,孕35例2例,孕37周5例,多数发生在孕32周以后,以初产妇为多,占同期住院分娩总数约0.2％。 1.2临床表现及合并症:有8例为产前阴道出血,伴腹痛,其中5例检查为典型板状腹、腹痛。2例无明显症状,产时人工破膜为血性羊水。2例自觉胎动减慢或消失。2例以胎死宫内就诊,B超诊为胎盘早剥。1例无任何症状,仅在产后发现有胎盘早剥。其中10例均为B超确诊;合并中、重度妊
Early placental dissection is a more serious obstetric complications, although the incidence is not high, but it seriously threatens the mother and child life. The diagnosis of sooner or later, whether the timely treatment of mother and child have a close relationship between the prognosis. In this paper, our hospital from 1996 to 1999 occurred in 15 cases of placental abruption analyzed as follows. 1 Clinical data 1.1 General information: The patients were 21 to 34 years old, average 26 years old, 28 weeks pregnant in 2 cases, 32 weeks pregnant in 4 cases, 33 weeks pregnant in 2 cases, 35 cases pregnant in 2 cases, 37 weeks of pregnancy in 5 cases, most occurred After 32 weeks of gestation, the number of primipara was more, accounting for about 0.2% of the total hospital delivery in the same period. 1.2 Clinical manifestations and complications: There are 8 cases of prenatal vaginal bleeding, with abdominal pain, of which 5 were examined as a typical plate-shaped abdominal, abdominal pain. 2 cases without obvious symptoms, artificial rupture of membranes during production of bloody amniotic fluid. 2 cases of conscious fetal movement slow or disappear. 2 cases of fetal death in the treatment, B ultrasound diagnosis of placental abruption. 1 case without any symptoms, only found in postpartum placental abruption. Of which 10 cases were diagnosed as B; merged, severe pregnancy