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目的:探讨不典型胎盘早剥产前误诊的原因,以提高早期诊断率。方法:对我院2007年收治的3例不典型胎盘早剥误诊病例进行回顾性分析。结果:3例主要表现为妊娠晚期下腹痛、腰痛、腰胀,均误诊为先兆早产。1例经B超检查术前确诊,2例剖宫产术中确诊。结论:详细询问病史,仔细观察临床症状及体征,对有胎盘早剥高危因素者尤应提高警惕,动态B超检查有助于产前诊断,及时剖宫产终止妊娠是保证母儿安全的重要措施。
Objective: To investigate the causes of prenatal misdiagnosis of atypical placental abruption in order to improve the early diagnosis rate. Methods: Three cases of misdiagnosis of atypical placental abruption admitted to our hospital in 2007 were analyzed retrospectively. Results: The main manifestations of 3 cases were lower abdominal pain, low back pain and low back pain in the third trimester of pregnancy. All of them were misdiagnosed as threatened preterm labor. One patient was confirmed by B-ultrasound before operation and 2 patients were diagnosed by cesarean section. CONCLUSIONS: With detailed history, careful observation of clinical symptoms and signs, vigilance should be given especially to risk factors of placental abruption. Dynamic B-ultrasound is helpful for prenatal diagnosis. Terminating timely cesarean section termination of pregnancy is important to ensure the safety of both mother and child Measures.