摘要
Abstract
Objective To explore the early diagnosis methods for placental abruption ,so as to improve the early di-agnostic rate. Methods To retrospectively review the clinical data of 187 patients with placental abruption (123 mild and 64 severe cases),who were treated from January 2010 to December 2012,and to analyze the cause,clinical manifestation, missed diagnosis and misdiagnosis of placental abruption in order to improve the prognosis of both mother and fetus by adopt-ing treatment measures timely. Results The incidence rate of placental abruption was 0.48%(187/38 673);the main predis-positions included hypertensive disorders in pregnancy,premature rupture of fetal membrane,application of oxytocin,and trau-mata;the clinical manifestations included abdomen pain,vaginal hemorrhage,bloody amniotic fluid,uterine hypertonia,abnor-mality in fetal heart rate;the detection rate by ultrasonography was 55.08%(103/187). Conclusions The difficulty in diag-nosis of placental abruption lies mainly in the fact that it tends to be confused with threatened labor ,labor or fetal distress. The clinical doctors should comprehensively analyze the inclining predispositions of patients ,clinical symptoms dynamically monitored,and ultrasonography examination results to improve the prenatal diagnosis accuracy.关键词
胎盘早剥/诊断/诱因/临床表现Key words
Abruptio placentae/Diagnosis/Predispositions/Clinical manifestations
