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本文分析我院１９８６年１月～１９９７年７月收治的３９例胎盘早剥，发病率为０．２２％，其主要病因为妊高征占３３．３３％，外伤占７．６９％等。３９例胎盘早剥中阴道流血占６６．６７％，腹痛占５３．８６％，为胎盘早剥的主要症状及体征。因此提出对于中晚期妊娠发生不明原因阴道流血及腹痛者，应想到胎盘早剥可能，并借助Ｂ超，胎心监护等辅助检查提高诊断率。一旦确诊，应尽早结束妊娠。
This article analyzes our hospital from January 1986 to July 1997 were treated 39 cases of placental abruption, the incidence rate was 0.22%, the main etiology of PIH accounted for 33.33%, trauma 7.69% and so on. 39 cases of placental abruption vaginal bleeding accounted for 66.67%, abdominal pain accounted for 53.86%, the main symptoms and signs of placental abruption. Therefore proposed in the late pregnancy unexplained vaginal bleeding and abdominal pain who should think of placental abruption may be, and with B-ultrasound, fetal heart rate monitoring and other auxiliary examination to improve the diagnostic rate. Once diagnosed, pregnancy should be terminated as soon as possible.