不同类型胎盘早剥早期诊断.docVIP

不同类型胎盘早剥早期诊断[摘要] 目的 对胎盘早剥的早期诊断以及处理方式进行探讨。 方法 选取我院收治的胎盘出现早剥现象的孕妇37例，对其临床资料进行回顾性分析。 结果 在分析中发现，胎盘出现轻型的早剥时，其临床特征并不明显；对于出现重型的早剥现象的胎盘，其临床表现则相当明显，主要特点是腹部发生持续性的疼痛，宫缩的周期之间并不感觉任何的松弛，同时经B超检查，大部分的重度早剥均可得到诊断，但此类孕妇的预后比较差。 结论 不同类型早剥的孕妇有着不同的临床表现，根据其特征以及检查工具的辅助，可以对其症状做到早期的诊断，并针对其具体情况制订相应的治疗方法，能够极大地改善孕妇的预后。 [关键词] 胎盘早剥；早期诊断；预后 [中图分类号] R71 [文献标识码] C [文章编号] 1673-7210（2012）07（c）-0160-02 Early diagnosis and handling of placental abruption YUAN Guishu Department of Obstetrics and Gynecology, Shiyan People’s Hospital of Bao’an District in Shenzhen City, Guangdong Province, Shenzhen 518108, China [Abstract] Objective To explore the early diagnosis and early treatment of the phenomenon of placental abruption. Methods 37 pregnant women who had placental abruption in the hospital of the past three years were selected, whose clinical data were retrospectively analyzed. Results The analysis found that placenta abruption was light, the clinical features were not obvious; For the emergence of heavy placental abruption, its clinical manifestations were obvious, The main characteristics were persistent pain in the abdomen, did not feel any relaxation between contractions cycle, most severe placental abruption could be diagnosed by B-ultrasound, but relatively poor prognosis of such pregnant women. Conclusion Different types of placental abruption of pregnant women have different clinical manifestations, according to its characteristics and examine the tool’s auxiliary, to achieve early diagnosis, and develop appropriate treatment for their specific circumstances, can greatly improve pregnant women of their symptoms prognosis. [Key words] Placental abruption; Early diagnosis; Prognosis 孕妇在妊娠的晚期往往会出现各种严重的并发症，而胎盘早剥就是其中之一[1]。此病一般都有发病急且进展速度非常快的特点，如果对其没有进行早期的诊断，或是没有进行早期的处理，则会导致孕妇发生其他严重的并发症，如产后出血，甚至会发生肾功能的衰竭[2]。一旦发生了早剥，母体以及婴儿的生命将会受到威胁，因此，胎盘早剥应尽可能地要做到早期发现，并给予及时的治疗。本文选取了我院2009年8月～2011年6月收治的发生早剥的孕妇37例，对其相关的临床资料进行了回顾性的调查，为做好临床的诊断工作以及进行有效地治疗提供依据。 1 资料与方法 1.1 一般资料 选取我院2009年8月～2011年6月收治的分娩孕妇6