文档介绍：44例不典型胎盘早剥的临床分析
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【摘要】目的探讨不典型胎盘早剥的临床表现及误诊原因,为临床早期诊治提供依据。方法本院住院确诊为胎盘早剥的74例孕产妇,按产前是否明确诊断分为不典型胎盘早剥病例组(简称不典型组,44例)和产前诊断胎盘早剥病例组(简称确诊组,30例)。分析两组的诱因、临床表现、产前漏诊的原因及母儿预后。结果不典型组患者妊娠期高血压疾病、糖尿病、外伤和性交史、剖宫产、子宫卒中、围生儿Apgar评分≤7分的发生比例均低于确诊组();胎膜早破、使用缩宫素的发生比例高于确诊组()。两组脐带因素、双胎妊娠、羊水过多及产后出血发生比例比较,差异均无统计学意义();两组产时出血量比较,差异有统计学意义()。结论不典型胎盘早剥者有高危因素,应与相关疾病鉴别,动态观察病情变化,才能提高早期诊断,及时处理,改善母儿预后。
【关键词】孕产妇; 胎盘早剥; 临床诊断
【Abstract】 Objective To analyze the clinical characteristics of 44 series of atypical placental abruption for reducing future erroneous diagnosis of the plication. Methods We retrospectively analyzed 74 cases with placental abruption. Cases were classified into the typical group (n=30) and the atypical group (n=44), and their clinical characteristics pared. Results The atypical group had lower frequency of hypertension, diabetes, injuries or sex intercourse, had smaller amount of postpartum bleeding, and was less likely to have a sever type of abruption, Cesarean section, womb stroke, and a newborn with an Apgar score of 7, pared with the typical group. However, the atypical group was more likely to have membrane abruption. Conclusion Many differences in clinical characteristics exist between the typical and atypical group of placental abruption. Knowing these differences may help early diagnose the plication.
【Key words】 Placen