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近年来我院诊治胎盘早剥产妇28例,其中经产妇12例,初产妇16例。孕期为34～40周。有16例于产前经B超检查确诊。发病诱因为:妊娠高血压综合征10例,性交9例,暴力碰撞腹部2例,原因不明7例。B超检查示胎盘与子宫壁间出现多个液性暗区,有阴道流血者暗区位于胎盘后之边缘,反之位于中间部。结果顺产11例,人工破膜加催产素静脉滴注引产12例,剖宫产5例。胎死宫内5例,新生儿死亡1例,其余正常。
In recent years, our hospital diagnosed 28 cases of placental abruption maternal, including 12 maternal and primipara. Pregnancy for 34 to 40 weeks. 16 cases were diagnosed by prenatal B-ultrasound. The incidence of incentives: pregnancy-induced hypertension in 10 cases, 9 cases of intercourse, abdominal violence in 2 cases, unexplained 7 cases. B-ultrasound showed that there were multiple liquid-dark areas between the placenta and the uterine wall. The dark area with vaginal bleeding was located at the posterior margin of the placenta, whereas the middle portion was located in the middle. Results of 11 cases of natural delivery, artificial rupture of membranes plus intravenous infusion of oxytocin induced abortion in 12 cases, 5 cases of cesarean section. 5 cases of fetal death in the womb, neonatal death in 1 case, the remaining normal.