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【摘要】目的:通过回顾性分析胎盘早期剥离的临床表现,重视非典型临床表现,提高胎盘胎盘早剥早期诊断,减少漏诊与误诊,改善妊娠结局。方法:对我院2009年1月至2010年12月 8例胎盘早剥住院病人病例资料、临床表现及妊娠结局进行分析。结果:典型临床表现10例,非典型临床表现58例,其中胎死宫内者来院 例,1例误诊为先兆早产导致胎死宫内,围产儿死亡 例,新生儿死亡0例。雅孕产妇死亡。 结论:胎盘早剥是妊娠期严重并发症,严重威胁母婴生命,胎盘早剥的早期诊断更应注重不典型的临床表现。 【关键词】胎盘早剥;临床表现;早期诊断;妊娠结局 【中图分类号】R114.2 【文献标识码】A 【文章编号】1008- 455(2011)12-0181-01 Clinical analysis of 8 atypical cases of placental abruption Zhang Liyuan Li Zhi Qian Nianfeng 【Abstract】Objective:Through analyzing the clinical manifestations of placental abruption retrospectively, to think highly of the atypical clinical manifestations, in order to improve pregnancy outcomes. Methods:We reviewed all cases of placental abruption from Jan.2009 to Oct 2010. Results:There were 10 typical cases and 58 atypical cases. Six fetus died inside the uterus, among which one case was misdiagnosed with threatened premature labor. No death of newborn baby and gravida. Conclusion:Placental abruption is a severe complication of pregnancy. It threantens the lives of mother and infant. The atipical clinical manifenstations should be payed more attention in its early diagnosis. 【Key words】Placental abruption; Clinical manifestation; Early diagnosis; Pregnancy outcome 1 资料和方法 1.1 一般资料:对我院2009年1月至2010年12月收治胎盘早剥患者 8例,年龄22-42岁,平均年龄30.1±2.8岁,孕周25周-40+ 周,孕周 |
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