摘要
目的:通过对不典型胎盘早剥的临床分析,以期提高早期诊断率。方法:对我院的临床资料进行分析。结果:胎盘早剥的发生为0.29%,产前确诊率33.93%,漏诊率66.07%,应用催产素(9.73%)、胎膜早破(32.43%)是不典型胎盘早剥的主要发病诱因,而胎心改变(67.56%)、早产(0.54%)是其主要的临床表现。结论:诱因不明确、症状不典型、后壁胎盘、Ⅰ度胎盘早剥及B超检查呈阴性是漏诊的主要原因。注重病史和诱因并予以综合分析、动态观察、反复检查,才能提高早期诊断率。
Objective：To improve the early diagnostic rate of atypical placental abruption by analysing the chnical data of this diaease. Methods：The clinical data in our hospital were analysed retrospectively. Results：The incidence rate of placental abruption was 0.29% ,The diagnostic rate of ante partum was 33.93%, the missed diagnosis rate was 66.07%. Using oxytocin （9.73%） and premature rupture of fetal membrane （32.43%） were the main predisposing causes of atypical placental abruption while the fetal heart changes （67.56%） and the premature delivery （0.54%） were the main clinical manifestations. Conclusion：No known predisposing causes,symptomatic atypia,latter wall placenta,placental abruption in class Ⅰ and negative B-mode ultrasound inspection are the main reasons of missed dianosis. Generalized analysis,dynamic observation and repeated inspection should be carried on the case history and predisposing causes, while should be stressed to improve the early dianosis rate.
出处
《现代医药卫生》
2006年第6期811-812,共2页
Journal of Modern Medicine & Health
关键词
不典型
胎盘早剥
早期诊断
Atypia
Placental abruption
Early diagnosis
