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目的:探讨产前尽早识别胎盘早剥的方法及处理要点。方法:回顾性分析4a间91例胎盘早剥孕妇的临床资料。结果:胎盘早剥发生率为0.25%。胎膜早破及妊娠期高血压疾病为重要的发病诱因。腰腹痛、产前出血、胎监异常为常见的临床表现。B超可以协助产前尽早识别,但部分病例可出现误漏诊。出现胎盘早剥后,需立即终止妊娠。结论:产前尽早识别胎盘早剥要结合诱因、临床症状及体征、胎心监护、B超检查,一旦确诊,需及时终止妊娠,以降低孕产妇及围产儿的死亡率。
Objective: To explore the method of early identification of prenatal placental abruption and the treatment points. Methods: A retrospective analysis of 4a cases of 91 cases of placental abruption pregnant women clinical data. Results: The incidence of placental abruption was 0.25%. Premature rupture of membranes and hypertensive disorders during pregnancy are important inducing factors. Abdominal pain, prenatal bleeding, abnormal fetal monitoring is a common clinical manifestations. B-ultrasound can help identify as soon as possible before delivery, but in some cases may be missed diagnosis. After the occurrence of placental abruption, the need to immediately terminate the pregnancy. Conclusion: Early identification of placental abortion before delivery should be combined with causes, clinical symptoms and signs, fetal heart monitoring, B-ultrasound, once diagnosed, the need for timely termination of pregnancy to reduce maternal and perinatal mortality.